| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.60 | $886.35 | $1,831.00 | |
Aetna
| Facility | 53 | $57.92 | $88.45 | $221.13 |
BCBS
| Facility | $526.86 | $526.86 | $579.54 | |
Cigna
| Facility | $415.00 | $443.02 | $1,373.51 | |
United
| Facility | $575.00 | $1,305.00 | $3,191.00 |