| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.25 | $1,064.00 | $2,812.00 | |
BCBS
| Facility | $845.19 | $845.19 | $963.52 | |
Cigna
| Facility | $366.00 | $458.17 | $582.72 | |
United
| Facility | $505.00 | $1,106.00 | $2,539.00 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.25 | $1,064.00 | $2,812.00 | |
BCBS
| Facility | $845.19 | $845.19 | $963.52 | |
Cigna
| Facility | $366.00 | $458.17 | $582.72 | |
United
| Facility | $505.00 | $1,106.00 | $2,539.00 |