| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $5,248.07 | $17,378.01 | |
Cigna
| Facility | $22,908.68 | $27,542.29 | $33,884.42 | |
Medica
| Facility | $54.95 | $1,288.25 | $13,182.57 | |
United
| Facility | $1,862.09 | $2,884.03 | $17,782.79 |