| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,103.26 | $7,655.00 | $14,555.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $1,627.66 | $2,808.18 | $5,287.16 | |
United
| Facility | $912.00 | $2,414.01 | $5,562.00 |