| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,791.68 | $8,674.09 | $16,467.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Cigna
| Facility | 62 | $2,244.61 | $2,244.61 | $2,244.61 |
Medcost
| Facility | $2,821.00 | $3,222.93 | $6,445.86 | |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |