| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $7,655.00 | $14,555.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $293.41 | $462.96 | $4,888.00 | |
United
| Facility | $783.00 | $1,743.00 | $5,562.00 |