| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,831.00 | $2,178.81 | |
Aetna
| Facility | 52 | $355.95 | $355.95 | $1,089.41 |
Cigna
| Facility | $588.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $860.00 | $2,717.00 | $7,885.00 |