| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $4,897.79 | $15,135.61 | |
Aetna
| Facility | 53 | $1,819.70 | $1,819.70 | $1,819.70 |
BCBS
| Facility | $4,786.30 | $12,302.69 | $30,199.52 | |
Cigna
| Facility | $812.83 | $5,754.40 | $33,884.42 | |
Cigna
| Facility | 53 | $169.82 | $169.82 | $169.82 |
United
| Facility | $4,365.16 | $14,454.40 | $38,018.94 |