| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,631.00 | $7,770.00 | $14,248.00 | |
Cigna
| Facility | $1,326.00 | $3,500.00 | $9,516.00 | |
Medica
| Facility | $408.00 | $1,435.00 | $13,383.00 | |
United
| Facility | $400.00 | $1,020.00 | $3,220.00 |