| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,894.16 | $4,470.00 | $12,600.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $1,154.48 | $2,026.31 | $3,880.41 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,562.00 |