| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,251.00 | $1,781.00 | $5,013.00 | |
Cigna
| Facility | $970.00 | $1,292.00 | $3,242.00 | |
Medica
| Facility | $450.00 | $1,097.00 | $2,449.00 | |
United
| Facility | $450.00 | $882.35 | $1,613.10 |