| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,623.41 | $13,489.63 | $17,782.79 | |
Cigna
| Facility | $1,862.09 | $1,862.09 | $50,118.72 | |
Medica
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
United
| Facility | $1,513.56 | $1,513.56 | $1,513.56 |