| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.68 | $4,862.00 | $16,467.00 | |
Cigna
| Facility | $169.76 | $169.76 | $890.00 | |
Medcost
| Facility | $153.96 | $199.21 | $313.14 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |