| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.91 | $5,623.41 | $10,471.29 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $54.95 | $120.23 | $3,162.28 | |
United
| Facility | $645.65 | $1,230.27 | $3,311.31 |