| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,737.80 | $5,623.41 | $12,302.69 | |
Cigna
| Facility | $912.01 | $912.01 | $4,466.84 | |
Medica
| Facility | $741.31 | $1,047.13 | $3,548.13 | |
United
| Facility | $1,348.96 | $3,090.30 | $5,623.41 |