| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,848.00 | $4,747.00 | $10,439.00 | |
Cigna
| Facility | $442.00 | $442.00 | $442.00 | |
Medica
| Facility | $176.18 | $271.39 | $1,661.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |