| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $645.65 | $870.96 | $1,621.81 | |
Aetna
| Professional | 52 | $691.83 | $691.83 | $691.83 |
BCBS
| Professional | $204.17 | $912.01 | $2,041.74 | |
Cigna
| Professional | $741.31 | $1,148.15 | $2,691.53 | |
United
| Professional | $371.54 | $758.58 | $1,513.56 |