| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Cigna
| Facility | $1,266.68 | $1,266.68 | $1,266.68 | |
Medica
| Facility | $437.55 | $1,005.46 | $4,311.16 | |
United
| Facility | $498.00 | $1,928.00 | $3,790.62 |