| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,240.71 | $4,387.00 | $10,439.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $688.82 | $1,166.98 | $4,650.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,732.00 |