| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,243.00 | $5,458.00 | $12,600.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $193.50 | $265.10 | $2,800.00 | |
United
| Facility | $783.00 | $1,743.00 | $5,562.00 |