| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,020.64 | $6,870.00 | $16,400.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $1,323.16 | $2,020.64 | $8,000.00 | |
United
| Facility | $2,729.00 | $8,000.00 | $24,509.00 |