| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,623.41 | $18,620.87 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Medica
| Facility | $1,202.26 | $1,819.70 | $3,630.78 | |
United
| Facility | $1,445.44 | $3,162.28 | $4,677.35 |