| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,187.73 | $6,071.00 | $13,200.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $435.39 | $1,823.11 | $4,418.42 | |
United
| Facility | $1,779.00 | $3,946.00 | $8,432.00 |