| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $5,623.41 | $10,471.29 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Medica
| Facility | $346.74 | $524.81 | $1,949.84 | |
United
| Facility | $776.25 | $1,230.27 | $5,623.41 |