| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,243.00 | $5,192.00 | $13,151.00 | |
Cigna
| Facility | $505.00 | $505.00 | $505.00 | |
Medica
| Facility | $787.75 | $1,226.82 | $6,724.00 | |
United
| Facility | $2,269.00 | $6,407.00 | $12,989.00 |