| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $4,192.00 | $13,200.00 | |
Cigna
| Facility | $1,070.25 | $1,070.25 | $1,070.25 | |
Medica
| Facility | $884.00 | $1,807.00 | $6,378.96 | |
United
| Facility | $884.00 | $3,317.00 | $5,558.80 |