| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,690.61 | $4,945.00 | $12,154.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $1,036.51 | $1,828.32 | $26,542.00 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,732.00 |