| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $434.00 | $1,633.00 | $2,000.00 | |
Cigna
| Facility | $310.00 | $704.00 | $3,150.00 | |
Medica
| Facility | $450.00 | $950.00 | $2,449.00 | |
United
| Facility | $450.00 | $839.00 | $1,613.10 |