| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,648.83 | $6,025.26 | $16,467.00 | |
Cigna
| Facility | $100.00 | $560.00 | $615.00 | |
Medcost
| Facility | $1,863.00 | $2,526.61 | $4,503.01 | |
United
| Facility | $600.00 | $5,871.00 | $8,973.00 |