| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,346.00 | $3,742.00 | $18,600.00 | |
Cigna
| Facility | $900.00 | $5,792.00 | $5,792.00 | |
Medica
| Facility | $1,160.00 | $2,407.46 | $5,882.00 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |