| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,674.13 | $3,843.00 | $10,439.00 | |
Cigna
| Facility | $330.00 | $330.00 | $330.00 | |
Medica
| Facility | $888.57 | $1,390.03 | $3,125.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |