| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,863.00 | $4,747.00 | $12,154.00 | |
Aetna
| Professional | $27.58 | $27.58 | $27.58 | |
BCBS
| Facility | $266.00 | $371.68 | $607.10 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $27.58 | $185.00 | $1,659.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |