| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,629.00 | $3,701.00 | $10,439.00 | |
Aetna
| Professional | $202.00 | $900.00 | $3,600.00 | |
Cigna
| Facility | $157.52 | $337.97 | $515.74 | |
Medica
| Facility | $166.00 | $526.00 | $1,685.00 | |
United
| Facility | $191.00 | $550.00 | $1,713.00 |