| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,474.00 | $4,856.00 | $14,100.00 | |
Cigna
| Facility | $900.00 | $900.00 | $900.00 | |
Medica
| Facility | $1,450.78 | $2,035.44 | $12,719.00 | |
United
| Facility | $1,851.00 | $7,074.00 | $14,139.00 |