| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $5,623.41 | $12,302.69 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $467.74 | $776.25 | $3,630.78 | |
United
| Facility | $1,548.82 | $2,570.40 | $4,677.35 |