| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,831.00 | $39,558.48 | |
Aetna
| Facility | 53 | $147.94 | $147.94 | $249.04 |
Cigna
| Facility | $1,000.00 | $2,900.00 | $16,742.18 | |
United
| Facility | $1,185.00 | $6,023.00 | $12,556.00 |