| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,145.95 | $2,606.27 | $16,467.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Medcost
| Facility | $955.76 | $1,145.95 | $1,962.42 | |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |