| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,995.26 | $5,623.41 | $12,302.69 | |
Cigna
| Facility | $912.01 | $912.01 | $4,466.84 | |
Medica
| Facility | $831.76 | $1,258.93 | $3,890.45 | |
United
| Facility | $1,412.54 | $3,311.31 | $6,918.31 |