| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,415.00 | $7,399.83 | $21,156.59 | |
Cigna
| Facility | $624.00 | $17,112.00 | $17,112.00 | |
Medica
| Facility | $1,545.42 | $2,368.04 | $11,000.00 | |
United
| Facility | $2,729.00 | $8,415.00 | $24,509.00 |