| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,218.00 | $8,400.00 | |
Cigna
| Facility | $900.00 | $900.00 | $900.00 | |
Medica
| Facility | $224.72 | $351.56 | $3,790.62 | |
United
| Facility | $575.00 | $1,990.00 | $4,012.00 |