| 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 | $918.27 | $1,476.69 | $12,199.00 | |
United
| Facility | $1,972.00 | $4,626.00 | $11,618.00 |