| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $477.57 | $2,279.00 | $7,082.02 | |
Aetna
| Facility | 50 | $2,402.21 | $2,402.21 | $6,752.40 |
BCBS
| Facility | $1,759.00 | $3,931.00 | $8,240.00 | |
Cigna
| Facility | $1,212.51 | $1,212.51 | $1,286.40 | |
United
| Facility | $1,020.00 | $1,925.00 | $4,132.00 |