| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,064.07 | $6,480.00 | $13,151.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $1,276.61 | $1,723.29 | $10,160.00 | |
United
| Facility | $2,729.00 | $8,000.00 | $17,483.00 |