| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,553.00 | $6,071.00 | $13,151.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $864.49 | $1,167.55 | $3,110.00 | |
United
| Facility | $1,405.00 | $3,647.00 | $6,988.00 |