| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $5,248.07 | $12,589.25 | |
Cigna
| Facility | $6,606.93 | $6,606.93 | $6,606.93 | |
Medica
| Facility | $660.69 | $2,570.40 | $26,302.68 | |
United
| Facility | $2,951.21 | $10,232.93 | $17,378.01 |