| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $4,786.30 | $8,317.64 | |
Cigna
| Facility | $446.68 | $446.68 | $446.68 | |
Medica
| Facility | $275.42 | $467.74 | $5,623.41 | |
United
| Facility | $1,445.44 | $2,089.30 | $4,677.35 |