| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $6,560.00 | $13,151.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $2,011.04 | $3,332.69 | $7,131.16 | |
United
| Facility | $2,269.00 | $6,407.00 | $12,989.00 |