| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $5,495.41 | $10,471.29 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Medica
| Facility | $331.13 | $489.78 | $4,677.35 | |
United
| Facility | $1,122.02 | $4,677.35 | $11,748.98 |