| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,506.00 | $10,439.00 | |
Cigna
| Facility | $330.00 | $330.00 | $330.00 | |
Medica
| Facility | $327.36 | $774.80 | $1,747.12 | |
United
| Facility | $596.00 | $1,576.00 | $2,793.00 |