| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $4,856.00 | $14,100.00 | |
Cigna
| Facility | $900.00 | $900.00 | $900.00 | |
Medica
| Facility | $1,051.07 | $1,477.19 | $8,085.52 | |
United
| Facility | $1,481.00 | $5,910.00 | $9,232.95 |