| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $689.00 | $1,300.00 | $2,236.00 | |
Cigna
| Facility | $758.00 | $893.00 | $1,112.00 | |
Medica
| Facility | $450.00 | $925.00 | $1,959.68 | |
United
| Facility | $450.00 | $810.00 | $1,612.00 |