| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.28 | $876.15 | $2,500.00 | |
Aetna
| Facility | 53 | $38.46 | $82.38 | $167.91 |
BCBS
| Facility | $845.19 | $845.19 | $963.52 | |
Cigna
| Facility | $366.00 | $458.17 | $918.80 | |
United
| Facility | $505.00 | $1,106.00 | $2,539.00 |