| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,031.00 | $6,560.00 | $13,151.00 | |
Cigna
| Facility | $710.00 | $710.00 | $710.00 | |
Medica
| Facility | $463.13 | $723.74 | $5,562.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |