| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $721.20 | $6,871.83 | $28,634.00 | |
Cigna
| Facility | $6,095.00 | $6,095.00 | $35,000.00 | |
Medcost
| Facility | $302.72 | $450.66 | $945.58 | |
Medcost
| Facility | 80 | $80.27 | $90.13 | $120.18 |
United
| Facility | $225.00 | $1,679.00 | $23,326.00 |