| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,835.14 | $4,154.89 | $16,467.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Medcost
| Facility | $1,595.89 | $1,863.16 | $3,139.52 | |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |