| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $4,919.00 | $12,600.00 | |
Cigna
| Facility | $505.00 | $505.00 | $505.00 | |
Medica
| Facility | $1,138.42 | $1,796.51 | $6,427.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,732.00 |