| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,198.00 | $1,198.00 | $1,208.00 | |
Cigna
| Facility | $410.00 | $601.02 | $1,794.00 | |
Qualchoice
| Facility | $517.50 | $517.50 | $785.45 | |
United
| Facility | $550.00 | $701.00 | $1,217.00 |