| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $998.40 | $1,492.29 | $3,109.00 | |
Aetna
| Facility | 52 | $493.63 | $508.20 | $746.15 |
Cigna
| Facility | $515.00 | $541.00 | $561.00 | |
United
| Facility | $375.00 | $1,054.73 | $2,421.00 |