| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.54 | $224.54 | $257.17 | |
Cigna
| Facility | $6,816.00 | $8,860.00 | $10,972.00 | |
Medica
| Facility | $185.00 | $311.58 | $1,437.00 | |
United
| Facility | $251.75 | $658.00 | $1,915.00 |