| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $3,890.45 | $8,511.38 | |
Cigna
| Facility | $891.25 | $891.25 | $891.25 | |
Medica
| Facility | $1,479.11 | $2,754.23 | $11,481.54 | |
United
| Facility | $1,949.84 | $7,762.47 | $14,454.40 |