| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,908.20 | $7,865.00 | $20,453.00 | |
Aetna
| Facility | 52 | $954.10 | $954.10 | $1,097.50 |
Cigna
| Facility | $14,449.00 | $14,449.00 | $15,090.00 | |
United
| Facility | $5,682.00 | $11,271.00 | $26,500.00 |