| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $830.89 | $3,683.00 | $7,500.00 | |
BCBS
| Facility | $9,444.76 | $15,004.39 | $23,706.76 | |
Cigna
| Facility | $5,792.00 | $5,792.00 | $5,792.00 | |
Medica
| Facility | $228.22 | $341.43 | $4,132.00 | |
Medica
| Facility | 62 | $385.46 | $735.14 | $735.14 |
Medica
| Facility | AS | $61.67 | $117.62 | $117.62 |
United
| Facility | $139.00 | $610.00 | $2,490.86 |