| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,454.12 | $6,901.64 | $20,025.00 | |
Cigna
| Facility | $624.00 | $17,112.00 | $17,112.00 | |
Medica
| Facility | $1,603.36 | $2,454.12 | $13,689.00 | |
United
| Facility | $2,269.00 | $6,724.00 | $13,689.00 |