| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,113.64 | $8,690.51 | |
Aetna
| Facility | 52 | $201.01 | $556.82 | $556.82 |
Anthem BCBS
| Facility | $1,449.90 | $1,611.00 | $2,875.00 | |
Cigna
| Facility | $1,751.69 | $1,751.69 | $1,812.99 | |
United
| Facility | $930.00 | $3,884.00 | $8,611.00 |