| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $990.85 | $7,655.00 | $13,151.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $55.00 | $982.02 | $4,502.00 | |
United
| Facility | $912.00 | $1,934.00 | $5,562.00 |