| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $873.00 | $1,831.00 | $3,680.32 | |
Aetna
| Facility | 52 | $495.38 | $495.38 | $1,516.15 |
Cigna
| Facility | $588.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $985.00 | $3,772.00 | $12,216.00 |