| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $990.74 | $3,701.00 | $10,439.00 | |
Cigna
| Facility | $442.00 | $442.00 | $442.00 | |
Medica
| Facility | $644.83 | $995.01 | $3,595.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |