| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $6,480.00 | $13,151.00 | |
Cigna
| Facility | $710.00 | $710.00 | $710.00 | |
Medica
| Facility | $1,170.05 | $1,849.82 | $5,323.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,732.00 |