| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $464.81 | $7,365.00 | $13,151.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $334.76 | $485.63 | $3,732.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,732.00 |