| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $356.88 | $936.00 | $1,831.00 | |
Aetna
| Facility | 54 | $124.82 | $124.82 | $302.41 |
BCBS
| Facility | $141.65 | $141.65 | $141.65 | |
Cigna
| Facility | $119.14 | $133.38 | $371.82 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 |