| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $731.22 | $2,682.40 | $11,674.00 | |
Aetna
| Facility | 52 | $154.28 | $365.61 | $365.61 |
BCBS
| Facility | $603.00 | $1,000.00 | $3,729.17 | |
Cigna
| Facility | $375.00 | $615.00 | $1,139.16 | |
Cigna
| Facility | 52 | $230.55 | $230.55 | $230.55 |
Medcost
| Facility | $268.52 | $368.48 | $541.47 | |
United
| Facility | $586.00 | $6,172.00 | $8,667.00 |