| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $6,456.54 | $12,589.25 | |
Cigna
| Facility | $13,182.57 | $13,182.57 | $13,182.57 | |
Medica
| Facility | $1,288.25 | $4,466.84 | $26,302.68 | |
United
| Facility | $4,677.35 | $20,417.38 | $35,481.34 |