| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $4,928.00 | $16,400.00 | |
Cigna
| Facility | $900.00 | $900.00 | $900.00 | |
Medica
| Facility | $1,526.30 | $2,240.09 | $11,495.55 | |
United
| Facility | $1,851.00 | $7,074.00 | $14,139.00 |