| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $5,623.41 | $10,471.29 | |
Cigna
| Facility | $912.01 | $912.01 | $2,290.87 | |
Medica
| Facility | $309.03 | $562.34 | $3,981.07 | |
United
| Facility | $1,778.28 | $2,818.38 | $6,309.57 |