| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,658.57 | $7,365.00 | $13,151.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $871.86 | $1,214.08 | $1,972.18 | |
United
| Facility | $783.00 | $1,743.00 | $5,562.00 |