| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $5,623.41 | $10,471.29 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Medica
| Facility | $851.14 | $2,290.87 | $3,548.13 | |
United
| Facility | $776.25 | $1,230.27 | $5,623.41 |