| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $550.01 | $3,133.00 | $8,042.03 | |
Aetna
| Facility | 50 | $5,493.00 | $6,913.62 | $11,313.68 |
BCBS
| Facility | $2,393.00 | $4,120.00 | $8,240.00 | |
Cigna
| Facility | $2,090.96 | $2,090.96 | $2,218.40 | |
United
| Facility | $2,637.00 | $5,735.00 | $9,622.00 |