| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $7,943.28 | $16,595.87 | |
Cigna
| Facility | $295.12 | $295.12 | $891.25 | |
Cigna
| Facility | AS | $29.51 | $29.51 | $29.51 |
Medcost
| Professional | $323.59 | $323.59 | $407.38 | |
Medcost
| Facility | $173.78 | $245.47 | $416.87 | |
United
| Facility | $1,479.11 | $6,760.83 | $9,120.11 |