| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $682.00 | $3,683.00 | $7,500.00 | |
Cigna
| Facility | $770.49 | $770.49 | $770.49 | |
Medica
| Facility | $292.33 | $592.24 | $2,180.00 | |
United
| Facility | $375.00 | $1,333.00 | $2,637.00 |