| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,114.63 | $4,807.38 | $16,467.00 | |
Cigna
| Facility | $890.00 | $890.00 | $2,069.80 | |
Medcost
| Facility | $1,980.54 | $2,348.00 | $4,088.92 | |
United
| Facility | $729.00 | $6,107.00 | $8,818.00 |