| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,000.00 | $6,560.00 | $13,151.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $1,266.58 | $2,062.40 | $6,407.00 | |
United
| Facility | $1,831.33 | $5,875.00 | $12,224.00 |