| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $634.00 | $1,502.00 | $2,575.00 | |
Aetna
| Facility | 52 | $122.05 | $122.05 | $373.55 |
BCBS
| Facility | $308.10 | $308.10 | $338.91 | |
Cigna
| Facility | $777.92 | $826.00 | $893.98 | |
United
| Facility | $575.00 | $1,305.00 | $4,939.00 |