| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,757.00 | $6,071.00 | $13,151.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $775.81 | $1,186.69 | $26,542.00 | |
United
| Facility | $825.00 | $2,081.00 | $3,918.00 |