| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,031.00 | $6,560.00 | $13,151.00 | |
Cigna
| Facility | $710.00 | $710.00 | $710.00 | |
Medica
| Facility | $399.57 | $627.77 | $3,810.00 | |
United
| Facility | $825.00 | $2,081.00 | $3,918.00 |