| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,913.50 | $12,811.00 | $38,166.00 | |
AmeriHealth
| Facility | $637.46 | $2,000.00 | $124,825.73 | |
Cigna
| Facility | $19,949.00 | $51,403.00 | $63,004.00 | |
United
| Facility | $1,529.00 | $6,648.00 | $39,588.00 |