| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,500.00 | $6,071.00 | $13,200.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $733.26 | $1,175.45 | $6,407.00 | |
United
| Facility | $2,269.00 | $6,407.00 | $12,989.00 |