| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,275.55 | $5,141.95 | $28,525.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Medcost
| Facility | $1,934.22 | $2,315.31 | $4,263.55 | |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |