| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,175.56 | $6,071.00 | $13,200.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $408.43 | $1,812.97 | $4,373.91 | |
United
| Facility | $1,900.00 | $2,843.00 | $8,348.00 |