| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,507.00 | $7,110.00 | $13,151.00 | |
Aetna
| Professional | $2,507.00 | $5,389.00 | $10,593.00 | |
Cigna
| Facility | $3,099.00 | $9,059.00 | $14,057.00 | |
Medica
| Facility | $3,276.00 | $8,281.00 | $65,418.00 | |
United
| Facility | $3,681.00 | $7,582.00 | $65,418.00 |