| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $675.62 | $776.96 | $1,685.00 | |
Cigna
| Facility | $620.00 | $984.24 | $1,121.94 | |
Medica
| Facility | $616.00 | $1,187.00 | $1,709.00 | |
United
| Facility | $616.00 | $1,116.00 | $1,709.00 |