| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,934.28 | $2,296.28 | $2,865.00 | |
Cigna
| Facility | $475.00 | $475.00 | $2,272.00 | |
Medica
| Facility | $824.00 | $1,978.20 | $2,815.00 | |
United
| Facility | $737.00 | $1,660.00 | $2,815.00 |