| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,737.80 | $5,495.41 | $10,471.29 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $870.96 | $1,479.11 | $6,918.31 | |
United
| Facility | $2,754.23 | $6,025.60 | $12,302.69 |