| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $805.65 | $4,249.50 | $10,255.00 | |
Aetna
| Facility | 53 | $114.53 | $121.45 | $160.06 |
BCBS
| Facility | $4,989.00 | $12,941.00 | $36,529.00 | |
Cigna
| Facility | $8,781.00 | $10,961.94 | $15,934.00 | |
Cigna
| Facility | 53 | $111.77 | $111.77 | $111.77 |
United
| Facility | $5,029.00 | $12,732.00 | $31,027.00 |