| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.00 | $1,098.00 | $1,781.00 | |
Cigna
| Facility | $1,200.00 | $1,807.00 | $6,710.00 | |
United
| Facility | $711.00 | $1,106.00 | $2,409.00 | |
Wellpoint
| Facility | $1,264.00 | $2,307.00 | $6,282.00 |