| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,495.00 | $3,600.00 | $13,151.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $219.01 | $359.32 | $2,990.54 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |