| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $7,016.00 | $14,100.00 | |
Cigna
| Facility | $1,326.00 | $15,433.00 | $15,433.00 | |
Medica
| Facility | $222.20 | $351.18 | $2,819.00 | |
United
| Facility | $191.00 | $853.00 | $7,957.00 |