| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $3,235.94 | $8,511.38 | |
Aetna
| Facility | 50 | $2,691.53 | $12,589.25 | $14,791.08 |
BCBS
| Facility | $1,698.24 | $4,365.16 | $10,232.93 | |
Cigna
| Facility | $389.05 | $3,467.37 | $10,000.00 | |
United
| Facility | $1,548.82 | $4,265.80 | $10,232.93 |