| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $7,244.36 | $16,595.87 | |
BCBS
| Facility | $602.56 | $933.25 | $1,862.09 | |
Cigna
| Facility | $371.54 | $562.34 | $831.76 | |
Cigna
| Facility | 52 | $338.84 | $338.84 | $338.84 |
Cigna
| Facility | 53 | $85.11 | $85.11 | $85.11 |
Medcost
| Facility | $245.47 | $354.81 | $549.54 | |
United
| Facility | $616.60 | $6,165.95 | $10,000.00 |