| 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 | $1,591.44 | $2,467.67 | $12,718.06 | |
United
| Facility | $2,269.00 | $6,170.00 | $15,451.00 |