| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.13 | $872.06 | $16,467.00 | |
Cigna
| Facility | $374.93 | $10,619.00 | $14,963.00 | |
Medcost
| Facility | $353.35 | $457.36 | $748.84 | |
United
| Facility | $729.00 | $6,107.00 | $8,818.00 |