| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $714.53 | $8,419.00 | $17,550.00 | |
Aetna
| Facility | 52 | $357.27 | $357.27 | $566.01 |
Aetna
| Facility | 53 | $142.91 | $142.91 | $226.40 |
Cigna
| Facility | $17,039.00 | $42,703.00 | $49,730.00 | |
Horizon BCBS
| Facility | $9,571.00 | $25,268.30 | $48,933.97 | |
United
| Facility | $5,682.00 | $11,859.00 | $52,056.00 |