| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $4,786.30 | $8,317.64 | |
Cigna
| Facility | $912.01 | $912.01 | $1,174.90 | |
Medica
| Facility | $741.31 | $1,047.13 | $2,454.71 | |
United
| Facility | $812.83 | $1,479.11 | $3,801.89 |