| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $699.08 | $7,365.00 | $13,151.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $311.36 | $598.54 | $3,121.00 | |
United
| Facility | $1,405.00 | $3,647.00 | $6,988.00 |