| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.91 | $137.91 | $164.05 | |
Cigna
| Facility | $10,617.00 | $11,782.00 | $15,828.00 | |
Medica
| Facility | $114.93 | $191.69 | $1,437.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |