| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $738.00 | $1,070.00 | $2,812.00 | |
Aetna
| Facility | 54 | $612.50 | $614.45 | $702.13 |
BCBS
| Facility | $1,458.96 | $1,458.96 | $1,750.75 | |
Cigna
| Facility | $483.82 | $483.82 | $483.82 | |
United
| Facility | $130.00 | $328.00 | $768.00 |