| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.52 | $917.35 | $15,189.09 | |
Aetna
| Facility | 52 | $136.27 | $323.26 | $323.26 |
BCBS
| Facility | $632.00 | $1,521.36 | $3,438.91 | |
Cigna
| Facility | $375.00 | $585.00 | $1,139.16 | |
Cigna
| Facility | 52 | $204.01 | $204.01 | $204.01 |
Medcost
| Facility | $254.50 | $374.00 | $508.99 | |
United
| Facility | $586.00 | $6,172.00 | $8,667.00 |