| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,862.09 | $5,623.41 | $18,620.87 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Medica
| Facility | $758.58 | $1,096.48 | $2,818.38 | |
United
| Facility | $776.25 | $1,230.27 | $5,623.41 |