| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $434.42 | $3,600.00 | $10,439.00 | |
Cigna
| Facility | $442.00 | $442.00 | $442.00 | |
Medica
| Facility | $166.84 | $416.33 | $1,541.00 | |
United
| Facility | $525.00 | $1,353.00 | $2,793.00 |