| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $1,831.00 | $5,200.50 | |
Aetna
| Facility | 52 | $784.33 | $784.33 | $1,900.17 |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $1,185.00 | $5,800.00 | $14,043.00 |