| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,419.19 | $8,965.00 | |
Cigna
| Facility | $444.46 | $444.46 | $444.46 | |
Cigna
| Facility | 62 | $272.63 | $272.63 | $272.63 |
Cigna
| Facility | AS | $43.62 | $43.62 | $43.62 |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |