| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $918.39 | $1,544.01 | $9,034.00 | |
Aetna
| Facility | 52 | $449.52 | $459.20 | $673.00 |
Cigna
| Facility | $515.00 | $541.00 | $561.00 | |
United
| Facility | $1,200.00 | $1,834.00 | $5,626.00 |