| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,472.69 | $1,770.36 | $4,122.39 | |
Cigna
| Facility | $157.52 | $337.97 | $515.74 | |
Medica
| Facility | $175.46 | $526.00 | $1,685.00 | |
United
| Facility | $191.00 | $550.00 | $1,713.00 |