| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,583.92 | $5,785.00 | $13,151.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $1,061.68 | $1,688.27 | $11,012.79 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,618.00 |