| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,683.00 | $8,400.00 | |
Cigna
| Facility | $900.00 | $900.00 | $900.00 | |
Medica
| Facility | $643.77 | $916.96 | $7,567.45 | |
Medica
| Facility | AS | $165.34 | $298.37 | $298.37 |
United
| Facility | $1,481.00 | $5,910.00 | $9,232.95 |