| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $601.00 | $1,021.04 | $2,825.00 | |
Aetna
| Facility | 50 | $9,275.87 | $9,275.87 | $9,275.87 |
BCBS
| Facility | $1,790.06 | $1,790.06 | $1,790.06 | |
Cigna
| Facility | $1,712.45 | $1,712.45 | $1,712.45 | |
United
| Facility | $700.00 | $2,148.00 | $6,612.00 |