| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $2,296.00 | $10,749.00 | |
Cigna
| Facility | $603.00 | $1,065.00 | $1,596.00 | |
Medica
| Facility | $400.00 | $947.00 | $8,000.00 | |
United
| Facility | $400.00 | $911.00 | $2,062.00 |