| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $348.73 | $796.15 | $52,190.00 | |
Cigna
| Facility | $23,850.00 | $23,850.00 | $32,555.00 | |
Medcost
| Facility | $294.63 | $363.72 | $684.79 | |
United
| Facility | $659.00 | $6,607.00 | $8,667.00 |