| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,804.19 | $7,655.00 | $16,849.75 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $1,763.00 | $2,618.57 | $4,119.28 | |
United
| Facility | $1,037.00 | $3,437.10 | $5,562.00 |