| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,818.38 | $2,818.38 | $2,818.38 | |
BCBS
| Facility | $1.00 | $1.00 | $1.00 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Medica
| Facility | $562.34 | $1,949.84 | $3,388.44 | |
United
| Facility | $1,096.48 | $1,862.09 | $3,715.35 |