| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,193.87 | $7,655.00 | $13,151.00 | |
Cigna
| Facility | $914.00 | $914.00 | $914.00 | |
Medica
| Facility | $1,087.00 | $1,639.59 | $2,850.92 | |
United
| Facility | $783.00 | $1,743.00 | $5,562.00 |