| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,831.00 | $2,825.00 | |
Aetna
| Facility | 52 | $392.66 | $392.66 | $1,201.78 |
Cigna
| Facility | $588.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $690.00 | $1,467.00 | $5,253.00 |