| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $619.27 | $1,502.00 | $2,575.00 | |
Aetna
| Facility | 52 | $101.17 | $101.17 | $309.64 |
BCBS
| Facility | $254.71 | $254.71 | $280.18 | |
Cigna
| Facility | $1,121.00 | $3,812.28 | $4,357.39 | |
United
| Facility | $860.00 | $2,717.00 | $8,411.00 |