| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $3,630.78 | $8,128.31 | |
Cigna
| Facility | $891.25 | $891.25 | $912.01 | |
Medica
| Facility | $109.65 | $165.96 | $1,905.46 | |
United
| Facility | $812.83 | $1,445.44 | $3,801.89 |