| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.83 | $936.00 | $1,831.00 | |
Aetna
| Facility | 54 | $269.04 | $290.87 | $651.79 |
BCBS
| Facility | $926.90 | $926.90 | $926.90 | |
Cigna
| Facility | $774.66 | $867.23 | $1,240.31 | |
United
| Facility | $455.00 | $870.00 | $3,779.00 |