| 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 | $505.00 | $505.00 | |
Medica
| Facility | $640.98 | $1,013.04 | $6,988.00 | |
United
| Facility | $1,015.82 | $3,647.00 | $8,348.00 |