| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $3,683.00 | $7,500.00 | |
Cigna
| Facility | $2,545.78 | $2,545.78 | $2,545.78 | |
Medica
| Facility | $440.80 | $608.16 | $3,910.00 | |
United
| Facility | $575.00 | $1,990.00 | $4,012.00 |