| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,914.74 | $4,919.00 | $12,600.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $1,036.11 | $1,384.96 | $2,800.00 | |
United
| Facility | $787.00 | $1,748.11 | $5,562.00 |