| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.85 | $257.20 | $24,848.20 | |
Cigna
| Facility | $2,559.41 | $5,516.00 | $15,917.00 | |
Medica
| Facility | $128.11 | $345.06 | $1,883.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |