| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $393.67 | $7,365.00 | $13,151.00 | |
Cigna
| Facility | $637.04 | $963.67 | $2,157.02 | |
Medica
| Facility | $285.25 | $525.00 | $2,474.00 | |
United
| Facility | $525.00 | $1,353.00 | $2,793.00 |