| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,720.30 | $3,945.51 | $16,467.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Medcost
| Facility | $1,458.09 | $1,764.38 | $2,939.68 | |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |