| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,242.25 | $5,053.60 | $16,467.00 | |
Cigna
| Facility | $890.00 | $890.00 | $2,218.90 | |
Medcost
| Facility | $2,065.69 | $2,556.00 | $4,269.64 | |
United
| Facility | $729.00 | $6,107.00 | $8,818.00 |