| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,008.62 | $5,325.00 | $12,600.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $1,135.08 | $1,519.42 | $2,800.00 | |
United
| Facility | $783.00 | $1,743.00 | $5,562.00 |