| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $7,365.00 | $13,151.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $55.00 | $748.47 | $4,502.00 | |
United
| Facility | $905.45 | $1,934.00 | $5,562.00 |