| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $689.00 | $1,509.00 | $2,742.00 | |
Cigna
| Facility | $700.00 | $1,103.00 | $2,075.00 | |
Medica
| Facility | $525.00 | $1,161.00 | $3,009.00 | |
United
| Facility | $525.00 | $1,052.00 | $1,959.68 |