| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.23 | $2,967.00 | $7,900.64 | |
Aetna
| Facility | 50 | $2,444.28 | $2,444.28 | $2,444.28 |
BCBS
| Facility | $1,529.00 | $2,971.00 | $4,707.00 | |
Cigna
| Facility | $395.75 | $568.48 | $721.90 | |
United
| Facility | $788.00 | $1,940.00 | $4,067.00 |