| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.00 | $1,140.00 | $2,271.44 | |
Aetna
| Facility | 53 | $91.05 | $91.05 | $454.29 |
BCBS
| Facility | $10,973.26 | $10,973.26 | $10,973.26 | |
Cigna
| Facility | $7,900.26 | $16,508.45 | $31,086.00 | |
United
| Facility | $1,390.00 | $10,905.00 | $19,044.00 |