| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.05 | $3,498.00 | $10,439.00 | |
Cigna
| Facility | $330.00 | $330.00 | $330.00 | |
Medica
| Facility | $147.79 | $321.48 | $3,946.00 | |
United
| Facility | $1,195.00 | $2,872.00 | $6,534.12 |