| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,603.32 | $8,419.00 | $22,900.00 | |
Aetna
| Facility | 52 | $801.66 | $801.66 | $957.01 |
Cigna
| Facility | $10,500.00 | $15,754.00 | $16,453.00 | |
United
| Facility | $6,066.00 | $15,296.00 | $27,214.00 |