| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $8,101.00 | $14,555.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $1,719.45 | $2,895.77 | $5,497.96 | |
United
| Facility | $783.00 | $1,743.00 | $5,562.00 |