| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,401.63 | $7,655.00 | $18,600.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $754.83 | $1,042.66 | $2,836.37 | |
United
| Facility | $1,037.00 | $3,096.00 | $5,562.00 |