| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $3,779.00 | $12,600.00 | |
Cigna
| Facility | $2,184.66 | $2,184.66 | $2,184.66 | |
Medica
| Facility | $880.00 | $1,807.00 | $5,962.62 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |