| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,851.81 | $8,101.00 | $18,600.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $1,774.92 | $2,414.50 | $8,500.00 | |
United
| Facility | $2,153.31 | $6,129.90 | $12,224.00 |