| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $4,466.84 | $10,964.78 | |
Aetna
| Facility | 50 | $0.58 | $2,137.96 | $7,079.46 |
BCBS
| Facility | $3,235.94 | $8,511.38 | $15,135.61 | |
Cigna
| Facility | $338.84 | $676.08 | $2,511.89 | |
United
| Facility | $234.42 | $1,148.15 | $3,630.78 |