| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,136.26 | $9,654.40 | $24,649.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Cigna
| Facility | 62 | $2,448.96 | $2,448.96 | $2,448.96 |
Cigna
| Facility | AS | $391.83 | $391.83 | $391.83 |
Medcost
| Facility | $3,538.00 | $4,754.18 | $7,125.70 | |
Medcost
| Facility | AS | $665.59 | $665.59 | $917.17 |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |