| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,950.74 | $6,560.00 | $18,600.00 | |
Cigna
| Facility | $624.00 | $17,112.00 | $17,112.00 | |
Medica
| Facility | $1,556.11 | $2,786.26 | $10,618.00 | |
United
| Facility | $3,081.00 | $7,665.00 | $28,122.00 |