| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $2,398.83 | $6,606.93 | |
Cigna
| Facility | $1,348.96 | $1,348.96 | $1,348.96 | |
Medica
| Facility | $549.54 | $891.25 | $4,365.16 | |
United
| Facility | $891.25 | $3,235.94 | $5,754.40 |