| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,848.00 | $4,470.00 | $10,439.00 | |
Cigna
| Facility | $442.00 | $442.00 | $442.00 | |
Medica
| Facility | $1,260.45 | $2,114.83 | $11,209.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,732.00 |