| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.00 | $4,387.00 | $10,439.00 | |
Cigna
| Facility | $442.00 | $442.00 | $442.00 | |
Medica
| Facility | $296.08 | $491.22 | $11,642.00 | |
United
| Facility | $2,269.00 | $6,407.00 | $12,224.00 |