| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,346.00 | $4,195.00 | $13,200.00 | |
Cigna
| Facility | $2,545.78 | $2,545.78 | $2,545.78 | |
Medica
| Facility | $576.59 | $816.88 | $4,311.16 | |
United
| Facility | $575.00 | $1,990.00 | $4,012.00 |