| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,848.00 | $4,747.00 | $10,439.00 | |
Cigna
| Facility | $442.00 | $442.00 | $442.00 | |
Medica
| Facility | $800.29 | $1,242.50 | $6,969.00 | |
United
| Facility | $2,269.00 | $6,407.00 | $12,989.00 |