| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.86 | $1,250.00 | $1,831.00 | |
Aetna
| Facility | 52 | $65.98 | $65.98 | $201.93 |
BCBS
| Facility | $861.98 | $861.98 | $861.98 | |
Cigna
| Facility | $550.00 | $782.14 | $1,296.55 | |
United
| Facility | $575.00 | $1,305.00 | $3,191.00 |