| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,346.00 | $5,901.00 | $17,600.00 | |
Cigna
| Facility | $5,516.00 | $5,516.00 | $15,917.00 | |
Medica
| Facility | $872.48 | $14,414.00 | $36,311.37 | |
United
| Facility | $2,840.00 | $19,870.00 | $32,316.00 |