| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.58 | $7,799.00 | $24,649.00 | |
Cigna
| Facility | $272.75 | $560.00 | $615.00 | |
Medcost
| Facility | $243.22 | $324.00 | $485.62 | |
United
| Facility | $990.00 | $15,451.00 | $23,485.00 |