| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $3,683.00 | $7,500.00 | |
Cigna
| Facility | $1,351.42 | $1,351.42 | $1,351.42 | |
Medica
| Facility | $743.71 | $1,062.82 | $6,100.00 | |
United
| Facility | $1,481.00 | $5,910.00 | $9,232.95 |