| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $3,981.07 | $10,715.19 | |
Aetna
| Facility | 50 | $4,570.88 | $5,128.61 | $6,165.95 |
BCBS
| Facility | $1,995.26 | $4,897.79 | $13,489.63 | |
Cigna
| Facility | $354.81 | $2,884.03 | $10,000.00 | |
United
| Facility | $1,905.46 | $5,623.41 | $12,302.69 |