| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $3,981.07 | $10,232.93 | |
Aetna
| Facility | 50 | $1,513.56 | $7,413.10 | $13,182.57 |
BCBS
| Facility | $1,698.24 | $4,365.16 | $10,232.93 | |
Cigna
| Facility | $223.87 | $2,398.83 | $7,413.10 | |
United
| Facility | $1,905.46 | $5,623.41 | $12,302.69 |