| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.00 | $1,780.20 | $2,825.00 | |
Aetna
| Facility | 52 | $604.73 | $604.73 | $1,481.23 |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $700.00 | $2,148.00 | $6,612.00 |