| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $3,630.78 | $8,128.31 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $165.96 | $758.58 | $1,584.89 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 |