| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,848.00 | $4,747.00 | $10,439.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $769.18 | $1,249.31 | $3,963.00 | |
United
| Facility | $1,779.00 | $3,946.00 | $6,988.00 |