| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $6,025.60 | $16,595.87 | |
Cigna
| Facility | $102.33 | $102.33 | $891.25 | |
Medcost
| Professional | $489.78 | $489.78 | $489.78 | |
Medcost
| Facility | $66.07 | $165.96 | $338.84 | |
United
| Facility | $354.81 | $1,202.26 | $3,548.13 |