| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,114.10 | $7,655.00 | $18,600.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $1,739.00 | $2,729.09 | $11,642.00 | |
United
| Facility | $2,269.00 | $6,724.00 | $12,989.00 |