| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.83 | $779.24 | $16,467.00 | |
Cigna
| Facility | $333.52 | $333.52 | $890.00 | |
Cigna
| Facility | AS | $32.72 | $32.72 | $32.72 |
Medcost
| Facility | $300.54 | $372.11 | $636.59 | |
Medcost
| Facility | AS | $49.98 | $50.14 | $85.78 |
United
| Facility | $729.00 | $6,107.00 | $8,818.00 |