| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $1,750.00 | $3,089.60 | |
Cigna
| Facility | $925.00 | $970.00 | $1,292.00 | |
Medica
| Facility | $450.00 | $1,002.00 | $1,959.68 | |
United
| Facility | $450.00 | $867.00 | $1,612.00 |