| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $828.62 | $2,344.00 | $11,330.00 | |
Aetna
| Facility | 52 | $414.31 | $414.31 | $703.88 |
Aetna
| Facility | 53 | $165.72 | $165.72 | $281.55 |
BCBS
| Facility | $10,796.13 | $10,796.13 | $12,955.36 | |
Cigna
| Facility | $3,125.00 | $8,439.00 | $9,992.00 | |
United
| Facility | $2,104.00 | $4,663.00 | $10,818.00 |