| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $550.00 | $2,649.00 | $12,400.00 | |
Cigna
| Facility | $360.00 | $450.00 | $3,500.00 | |
Medica
| Facility | $375.00 | $907.00 | $10,000.00 | |
United
| Facility | $400.00 | $903.00 | $2,062.00 |