| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,309.58 | $2,926.95 | $52,190.00 | |
Cigna
| Facility | $890.00 | $1,291.78 | $32,555.00 | |
Medcost
| Facility | $917.64 | $1,309.58 | $2,508.11 | |
United
| Facility | $3,028.00 | $19,526.00 | $24,161.00 |