| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $971.00 | $1,782.00 | $3,064.00 | |
Cigna
| Facility | $230.00 | $925.00 | $4,707.00 | |
United
| Facility | $711.00 | $1,106.00 | $2,409.00 | |
Wellpoint
| Facility | $1,300.00 | $1,454.00 | $2,627.00 |