| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $538.00 | $3,600.00 | $10,439.00 | |
Cigna
| Facility | $9,690.00 | $9,690.00 | $9,690.00 | |
Medica
| Facility | $59.13 | $115.18 | $526.00 | |
United
| Facility | $166.00 | $611.00 | $1,915.00 |