| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,398.83 | $6,606.93 | |
BCBS
| Facility | $8,912.51 | $13,803.84 | $22,908.68 | |
Cigna
| Facility | $5,754.40 | $5,754.40 | $5,754.40 | |
Medica
| Facility | $169.82 | $457.09 | $5,011.87 | |
Medica
| Facility | 62 | $338.84 | $645.65 | $645.65 |
Medica
| Facility | AS | $54.95 | $104.71 | $104.71 |
United
| Facility | $138.04 | $630.96 | $2,511.89 |