| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.41 | $1,397.00 | $4,478.00 | |
Aetna
| Facility | 53 | $124.55 | $126.88 | $180.11 |
BCBS
| Facility | $10,504.71 | $10,504.71 | $12,605.65 | |
Cigna
| Facility | $8,781.00 | $8,781.00 | $20,598.28 | |
United
| Facility | $3,079.00 | $8,643.00 | $15,899.00 |