| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,800.00 | $11,112.00 | $11,112.00 | |
Cigna
| Facility | $3,906.00 | $3,906.00 | $3,906.00 | |
Medica
| Facility | $1,227.00 | $4,931.70 | $42,786.72 | |
United
| Facility | $616.00 | $1,187.00 | $1,709.00 |