| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $1,990.62 | $3,291.65 | |
Aetna
| Facility | 52 | $969.67 | $995.31 | $1,454.87 |
Cigna
| Facility | $515.00 | $541.00 | $561.00 | |
United
| Facility | $375.00 | $750.00 | $2,558.00 |