| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.24 | $1,064.00 | $2,812.00 | |
Aetna
| Facility | 54 | $166.46 | $183.18 | $474.62 |
BCBS
| Facility | $210.54 | $210.54 | $252.65 | |
Cigna
| Facility | $167.26 | $167.26 | $167.26 | |
United
| Facility | $130.00 | $328.00 | $858.00 |