| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $5,623.41 | $10,471.29 | |
Cigna
| Facility | $11,481.54 | $11,481.54 | $11,481.54 | |
Medica
| Facility | $1,148.15 | $1,905.46 | $5,888.44 | |
United
| Facility | $1,023.29 | $1,737.80 | $3,311.31 |