| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.00 | $2,332.00 | $3,294.00 | |
Cigna
| Facility | $1,371.00 | $1,371.00 | $1,371.00 | |
Medica
| Facility | $500.00 | $525.00 | $8,000.00 | |
United
| Facility | $500.00 | $500.00 | $1,217.00 |