| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,558.15 | $5,872.83 | $16,467.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Medcost
| Facility | $1,901.00 | $2,558.15 | $4,377.60 | |
United
| Facility | $791.00 | $10,069.00 | $16,816.00 |