| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.60 | $6,480.00 | $13,151.00 | |
Cigna
| Facility | $22,968.00 | $27,391.00 | $34,239.00 | |
Medica
| Facility | $271.42 | $570.32 | $4,061.00 | |
United
| Facility | $376.00 | $611.00 | $24,336.00 |