| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $7,655.00 | $13,151.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $750.04 | $1,037.00 | $2,813.34 | |
United
| Facility | $1,037.00 | $3,096.00 | $5,562.00 |