| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $5,623.41 | $14,454.40 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $1,174.90 | $2,884.03 | $5,623.41 | |
United
| Facility | $851.14 | $1,445.44 | $5,623.41 |