| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,952.00 | $6,404.00 | $12,154.00 | |
BCBS
| Facility | $1,929.00 | $2,699.03 | $4,278.26 | |
Cigna
| Facility | $11,777.00 | $11,777.00 | $11,777.00 | |
Medica
| Facility | $1,240.58 | $2,190.00 | $26,542.00 | |
United
| Facility | $1,967.00 | $4,916.00 | $11,732.00 |