| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,296.47 | $3,701.00 | $10,439.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $682.84 | $1,100.36 | $6,969.00 | |
United
| Facility | $2,820.00 | $9,507.00 | $10,847.11 |