| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $14,450.00 | |
Cigna
| Facility | $7,573.00 | $10,972.00 | $34,239.00 | |
Medica
| Facility | $1,504.50 | $2,386.88 | $10,614.14 | |
United
| Facility | $2,073.69 | $6,145.00 | $13,700.00 |