| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $5,623.41 | $10,471.29 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Medica
| Facility | $295.12 | $457.09 | $1,949.84 | |
United
| Facility | $776.25 | $1,230.27 | $5,623.41 |