| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $2,630.27 | $6,760.83 | |
Cigna
| Facility | $8,128.31 | $8,128.31 | $8,128.31 | |
Medica
| Facility | $741.31 | $1,122.02 | $5,495.41 | |
United
| Facility | $891.25 | $3,311.31 | $6,165.95 |