| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.73 | $3,279.00 | $8,500.00 | |
Aetna
| Facility | 50 | $2,088.88 | $2,088.88 | $2,300.50 |
BCBS
| Facility | $2,088.00 | $4,247.00 | $8,800.00 | |
Cigna
| Facility | $691.65 | $702.62 | $823.00 | |
United
| Facility | $282.00 | $1,081.00 | $2,699.00 |