| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,190.00 | $1,750.00 | $5,013.00 | |
Cigna
| Facility | $970.00 | $1,292.00 | $3,242.00 | |
Medica
| Facility | $430.00 | $789.00 | $1,959.68 | |
United
| Facility | $430.00 | $662.00 | $1,512.00 |