| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $5,939.00 | $13,151.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $818.82 | $1,320.18 | $3,946.00 | |
United
| Facility | $1,900.00 | $5,043.00 | $6,239.00 |