| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $366.71 | $1,218.00 | $3,109.00 | |
Aetna
| Facility | 52 | $144.13 | $180.60 | $207.68 |
BCBS
| Facility | $1,771.26 | $1,771.26 | $2,019.24 | |
Cigna
| Facility | $490.00 | $515.00 | $930.22 | |
United
| Facility | $505.00 | $1,106.00 | $2,539.00 |