| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $4,897.79 | $16,595.87 | |
Cigna
| Facility | $34.67 | $371.54 | $616.60 | |
Medcost
| Facility | $147.91 | $371.54 | $1,023.29 | |
United
| Facility | $100.00 | $1,148.15 | $2,951.21 |