| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,982.00 | $6,071.00 | $13,151.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $2,041.31 | $3,906.26 | $7,521.33 | |
United
| Facility | $1,972.00 | $4,960.00 | $11,618.00 |