| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $990.50 | $3,498.00 | $12,154.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $761.60 | $1,166.04 | $6,969.00 | |
United
| Facility | $2,269.00 | $6,407.00 | $24,509.00 |