| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $5,623.41 | $10,471.29 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Medica
| Facility | $131.83 | $199.53 | $1,737.80 | |
United
| Facility | $776.25 | $1,230.27 | $5,623.41 |