| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.00 | $4,862.00 | $16,467.00 | |
Cigna
| Facility | $140.44 | $140.44 | $890.00 | |
Medcost
| Facility | $130.38 | $164.15 | $256.69 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |