| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $7,762.47 | $13,489.63 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Medcost
| Facility | $602.56 | $812.83 | $1,412.54 | |
United
| Facility | $1,479.11 | $6,760.83 | $10,000.00 |