| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,837.79 | $9,383.00 | $21,953.00 | |
Aetna
| Facility | 52 | $918.90 | $918.90 | $7,563.77 |
Cigna
| Facility | $10,500.00 | $20,323.00 | $21,225.00 | |
United
| Facility | $4,838.00 | $10,536.00 | $26,500.00 |