| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,757.00 | $6,480.00 | $13,200.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $236.33 | $382.86 | $2,819.00 | |
United
| Facility | $300.50 | $658.00 | $2,968.00 |