| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $3,890.45 | $8,511.38 | |
Cigna
| Facility | $891.25 | $891.25 | $891.25 | |
Medica
| Facility | $851.14 | $1,445.44 | $11,220.18 | |
United
| Facility | $1,862.09 | $7,244.36 | $14,125.38 |