| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $828.48 | $1,821.00 | $9,477.00 | |
Aetna
| Facility | 53 | $165.70 | $165.70 | $281.61 |
BCBS
| Facility | $11,513.60 | $11,513.60 | $13,816.32 | |
Cigna
| Facility | $3,125.00 | $8,439.00 | $9,992.00 | |
United
| Facility | $2,104.00 | $4,663.00 | $10,818.00 |