| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $6,560.00 | $13,151.00 | |
Cigna
| Facility | $710.00 | $710.00 | $710.00 | |
Medica
| Facility | $858.11 | $1,341.73 | $8,419.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,618.00 |