| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,068.32 | $4,376.00 | $12,154.00 | |
Cigna
| Facility | $505.00 | $505.00 | $505.00 | |
Medica
| Facility | $650.74 | $999.86 | $4,330.00 | |
United
| Facility | $825.00 | $2,303.00 | $4,001.00 |