| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,775.75 | $4,002.32 | $16,467.00 | |
Cigna
| Facility | $1,766.56 | $10,619.00 | $14,963.00 | |
Medcost
| Facility | $1,562.04 | $1,868.39 | $3,409.47 | |
United
| Facility | $3,340.00 | $19,915.00 | $30,476.00 |