| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,000.00 | $7,365.00 | $14,555.00 | |
Cigna
| Facility | $1,326.00 | $15,433.00 | $15,433.00 | |
Medica
| Facility | $1,278.28 | $2,036.64 | $7,957.00 | |
United
| Facility | $2,798.00 | $6,724.00 | $12,989.00 |