| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,787.56 | $7,799.00 | $21,886.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Medcost
| Facility | $1,540.23 | $1,928.03 | $3,045.10 | |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |