| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $3,803.00 | $12,600.00 | |
Cigna
| Facility | $900.00 | $900.00 | $900.00 | |
Medica
| Facility | $472.83 | $660.82 | $2,490.86 | |
United
| Facility | $161.00 | $739.00 | $1,615.00 |