| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,454.71 | $5,623.41 | $15,848.93 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Medica
| Facility | $851.14 | $2,344.23 | $3,981.07 | |
United
| Facility | $776.25 | $1,230.27 | $5,623.41 |