| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.00 | $3,660.00 | $12,400.00 | |
Cigna
| Facility | $865.00 | $2,037.00 | $3,500.00 | |
Medica
| Facility | $400.00 | $1,053.00 | $10,000.00 | |
United
| Facility | $408.00 | $1,177.00 | $2,568.00 |