| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,630.27 | $6,606.93 | |
Cigna
| Facility | $776.25 | $776.25 | $776.25 | |
Medica
| Facility | $54.95 | $223.87 | $2,754.23 | |
United
| Facility | $371.54 | $1,318.26 | $2,630.27 |