| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $916.00 | $3,683.00 | $8,400.00 | |
Cigna
| Facility | $2,545.78 | $2,545.78 | $2,545.78 | |
Medica
| Facility | $383.33 | $577.92 | $4,596.00 | |
United
| Facility | $884.00 | $3,317.00 | $5,543.93 |