| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $689.00 | $1,161.00 | $2,236.00 | |
Cigna
| Facility | $758.00 | $914.00 | $1,238.00 | |
Medica
| Facility | $450.00 | $925.00 | $1,959.68 | |
United
| Facility | $450.00 | $819.00 | $1,520.00 |