| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $3,715.35 | $10,715.19 | |
Aetna
| Facility | 50 | $1,862.09 | $3,019.95 | $4,570.88 |
BCBS
| Facility | $1,513.56 | $3,715.35 | $9,549.93 | |
Cigna
| Facility | $125.89 | $245.47 | $724.44 | |
United
| Facility | $645.65 | $1,949.84 | $4,786.30 |