| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,346.00 | $4,195.00 | $13,200.00 | |
Cigna
| Facility | $900.00 | $900.00 | $900.00 | |
Medica
| Facility | $936.24 | $1,311.92 | $6,161.54 | |
United
| Facility | $1,157.00 | $4,424.00 | $7,077.94 |