| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,718.79 | $7,655.00 | $14,330.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $929.24 | $1,298.05 | $2,227.30 | |
United
| Facility | $783.00 | $1,743.00 | $5,562.00 |