| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,801.89 | $5,888.44 | $16,595.87 | |
Cigna
| Facility | $331.13 | $331.13 | $891.25 | |
Medcost
| Facility | $199.53 | $245.47 | $426.58 | |
United
| Facility | $354.81 | $1,202.26 | $3,548.13 |