| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,511.00 | $7,365.00 | $13,151.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $895.11 | $1,261.99 | $2,245.94 | |
United
| Facility | $783.00 | $1,743.00 | $5,562.00 |