| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $4,387.00 | $10,439.00 | |
BCBS
| Facility | $220.00 | $294.57 | $651.39 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $61.90 | $198.70 | $403.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |