| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $4,570.88 | $10,471.29 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Medica
| Facility | $794.33 | $1,258.93 | $8,128.31 | |
United
| Facility | $2,818.38 | $5,754.40 | $11,748.98 |