| 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 | $136.21 | $212.89 | $1,661.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |