| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,187.76 | $5,623.41 | $12,302.69 | |
Cigna
| Facility | $912.01 | $912.01 | $2,570.40 | |
Medica
| Facility | $912.01 | $1,348.96 | $3,890.45 | |
United
| Facility | $1,412.54 | $3,311.31 | $6,456.54 |