| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,607.70 | $3,616.62 | $16,467.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Medcost
| Facility | $1,367.39 | $1,842.00 | $2,790.58 | |
United
| Facility | $710.00 | $10,069.00 | $16,249.00 |