| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $5,623.41 | $14,125.38 | |
Cigna
| Facility | $1,318.26 | $15,488.17 | $15,488.17 | |
Medica
| Facility | $223.87 | $354.81 | $3,019.95 | |
United
| Facility | $190.55 | $549.54 | $2,951.21 |