| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.00 | $3,324.00 | $7,780.00 | |
Aetna
| Facility | 50 | $5,135.70 | $5,135.70 | $5,135.70 |
BCBS
| Facility | $3,302.10 | $5,160.00 | $10,536.00 | |
Cigna
| Facility | $2,090.96 | $2,090.96 | $2,218.40 | |
United
| Facility | $2,637.00 | $5,735.00 | $9,622.00 |