| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,630.27 | $4,897.79 | $10,471.29 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $1,584.89 | $2,454.71 | $10,232.93 | |
United
| Facility | $2,951.21 | $6,606.93 | $13,803.84 |