| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,070.00 | $4,919.00 | $12,600.00 | |
Cigna
| Facility | $6,573.00 | $6,573.00 | $6,573.00 | |
Medica
| Facility | $652.86 | $999.92 | $26,542.00 | |
United
| Facility | $2,729.00 | $8,000.00 | $27,459.00 |