| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,317.98 | $3,036.88 | $16,467.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Medcost
| Facility | $1,120.28 | $1,342.15 | $2,254.08 | |
United
| Facility | $1,250.00 | $17,146.00 | $24,161.00 |