| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $3,202.00 | $12,400.00 | |
Cigna
| Facility | $510.00 | $510.00 | $1,732.00 | |
Medica
| Facility | $340.00 | $5,000.00 | $5,000.00 | |
United
| Facility | $340.00 | $944.00 | $944.00 |