| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $904.00 | $1,760.00 | $4,823.00 | |
Cigna
| Facility | $352.00 | $1,050.00 | $2,440.00 | |
Medica
| Facility | $450.00 | $944.00 | $2,000.00 | |
United
| Facility | $450.00 | $805.00 | $1,738.00 |