| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.12 | $1,543.03 | $5,350.00 | |
Aetna
| Facility | 52 | $35.54 | $56.39 | $90.13 |
BCBS
| Facility | $1,615.00 | $4,120.00 | $7,588.00 | |
Cigna
| Facility | $310.32 | $348.94 | $756.33 | |
Cigna
| Facility | 52 | $90.26 | $90.26 | $90.26 |
United
| Facility | $437.00 | $1,138.00 | $2,720.00 |