| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $689.83 | $1,320.00 | $2,020.22 | |
Aetna
| Facility | 52 | $344.92 | $344.92 | $1,010.11 |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $690.00 | $1,223.00 | $4,093.00 |