| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $873.00 | $1,159.00 | $4,558.00 | |
Cigna
| Facility | $679.00 | $1,081.00 | $3,267.00 | |
United
| Facility | $711.00 | $1,148.00 | $2,409.00 | |
Wellpoint
| Facility | $602.00 | $1,200.00 | $5,716.00 |