| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,474.00 | $4,856.00 | $14,100.00 | |
Cigna
| Facility | $900.00 | $900.00 | $900.00 | |
Medica
| Facility | $1,675.69 | $2,622.45 | $8,085.52 | |
Medica
| Facility | AS | $472.53 | $858.79 | $858.79 |
United
| Facility | $1,172.70 | $5,258.72 | $9,232.95 |