| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $5,495.41 | $12,589.25 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Medica
| Facility | $1,230.27 | $1,995.26 | $3,162.28 | |
United
| Facility | $776.25 | $1,230.27 | $5,623.41 |