| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,292.02 | $4,728.00 | $14,100.00 | |
Cigna
| Facility | $900.00 | $900.00 | $900.00 | |
Medica
| Facility | $968.39 | $1,310.39 | $10,232.00 | |
Medica
| Facility | AS | $247.35 | $445.06 | $445.06 |
United
| Facility | $1,851.00 | $7,074.00 | $14,139.00 |