| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,083.60 | $7,799.00 | $24,649.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Cigna
| Facility | AS | $196.33 | $196.33 | $196.33 |
Medcost
| Facility | $1,752.89 | $2,162.15 | $3,542.28 | |
Medcost
| Facility | AS | $275.80 | $300.72 | $456.97 |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |