| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.77 | $4,919.00 | $12,600.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $824.25 | $1,344.23 | $6,969.00 | |
United
| Facility | $1,544.65 | $6,145.00 | $13,573.09 |