| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.35 | $767.00 | $2,866.00 | |
Aetna
| Facility | 52 | $125.09 | $169.29 | $419.76 |
BCBS
| Facility | $3,390.44 | $3,390.44 | $4,068.53 | |
Cigna
| Facility | $1,046.51 | $1,046.51 | $1,046.51 | |
United
| Facility | $1,240.00 | $2,311.00 | $5,652.00 |