| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $1,513.56 | $2,290.87 | |
BCBS
| Facility | $3,019.95 | $3,548.13 | $4,897.79 | |
BCBS
| Facility | 50 | $4,570.88 | $5,370.32 | $7,244.36 |
Cigna
| Facility | $338.84 | $338.84 | $338.84 | |
United
| Facility | $251.19 | $549.54 | $1,348.96 |