| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,070.00 | $4,919.00 | $12,600.00 | |
Cigna
| Facility | $505.00 | $505.00 | $505.00 | |
Medica
| Facility | $1,007.83 | $1,595.00 | $3,842.00 | |
United
| Facility | $825.00 | $2,081.00 | $3,918.00 |