| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $661.41 | $3,158.00 | $10,439.00 | |
Cigna
| Facility | $624.00 | $17,112.00 | $17,112.00 | |
Medica
| Facility | $382.00 | $576.35 | $1,685.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |