| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,789.00 | $6,571.00 | $13,396.00 | |
Cigna
| Facility | $1,326.00 | $15,433.00 | $15,433.00 | |
Medica
| Facility | $1,260.29 | $1,941.08 | $7,957.00 | |
United
| Facility | $2,269.00 | $6,407.00 | $12,989.00 |