| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,495.00 | $3,843.00 | $10,439.00 | |
Cigna
| Facility | $890.00 | $890.00 | $914.00 | |
Medica
| Facility | $108.79 | $159.16 | $1,169.00 | |
United
| Facility | $793.00 | $2,081.00 | $3,918.00 |