| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,502.36 | $6,404.00 | $12,154.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $1,017.76 | $1,671.13 | $6,407.00 | |
United
| Facility | $2,269.00 | $6,407.00 | $12,989.00 |