| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $3,803.00 | $12,600.00 | |
Cigna
| Facility | $900.00 | $900.00 | $900.00 | |
Medica
| Facility | $1,419.15 | $2,086.71 | $8,753.15 | |
United
| Facility | $1,481.00 | $5,910.00 | $9,232.95 |