| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,070.00 | $4,919.00 | $12,600.00 | |
Cigna
| Facility | $505.00 | $5,613.00 | $5,613.00 | |
Medica
| Facility | $100.92 | $162.88 | $1,661.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |