| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $3,715.35 | $9,772.37 | |
BCBS
| Facility | $1,621.81 | $5,248.07 | $11,220.18 | |
Cigna
| Facility | $371.54 | $660.69 | $1,778.28 | |
Cigna
| Facility | 52 | $338.84 | $338.84 | $338.84 |
Cigna
| Facility | 53 | $85.11 | $85.11 | $85.11 |
United
| Facility | $660.69 | $2,511.89 | $6,165.95 |