| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $4,570.88 | $10,471.29 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $630.96 | $1,122.02 | $4,466.84 | |
United
| Facility | $1,548.82 | $3,630.78 | $5,623.41 |