| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $1,688.00 | $3,109.00 | |
Aetna
| Facility | 52 | $592.29 | $624.72 | $914.78 |
Cigna
| Facility | $515.00 | $541.00 | $561.00 | |
United
| Facility | $375.00 | $750.00 | $2,558.00 |