| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $796.98 | $4,376.00 | $12,154.00 | |
Cigna
| Facility | $505.00 | $505.00 | $505.00 | |
Medica
| Facility | $510.50 | $807.36 | $3,125.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |