| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,318.26 | $3,890.45 | $9,772.37 | |
Cigna
| Facility | $2,344.23 | $2,344.23 | $2,344.23 | |
Medica
| Facility | $1,318.26 | $6,918.31 | $20,417.38 | |
United
| Facility | $3,467.37 | $11,748.98 | $20,892.96 |