| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $513.46 | $9,859.00 | |
Cigna
| Facility | $152.81 | $5,257.46 | $5,441.47 | |
Cigna
| Facility | AS | $14.95 | $14.95 | $14.95 |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |