| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.51 | $1,743.25 | $7,182.00 | |
Aetna
| Facility | 52 | $111.49 | $258.58 | $580.34 |
BCBS
| Facility | $830.24 | $2,012.12 | $4,036.79 | |
Cigna
| Facility | $505.00 | $2,048.92 | $2,632.90 | |
Medcost
| Facility | $222.98 | $457.77 | $961.91 | |
United
| Facility | $2,155.00 | $12,798.00 | $19,665.00 |