| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.00 | $3,165.00 | $8,400.00 | |
Cigna
| Facility | $1,070.25 | $1,070.25 | $1,070.25 | |
Medica
| Facility | $115.09 | $203.72 | $3,485.72 | |
United
| Facility | $352.00 | $1,265.00 | $2,637.00 |