| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $737.65 | $3,683.00 | $7,500.00 | |
Cigna
| Facility | $1,351.42 | $1,351.42 | $1,351.42 | |
Medica
| Facility | $549.84 | $806.43 | $4,188.00 | |
United
| Facility | $884.00 | $3,317.00 | $5,543.93 |