| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.20 | $4,261.00 | $12,154.00 | |
Cigna
| Facility | $912.38 | $912.38 | $1,779.05 | |
Medica
| Facility | $257.56 | $535.72 | $2,433.53 | |
United
| Facility | $899.00 | $1,729.00 | $2,664.00 |