| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $14,321.00 | |
Cigna
| Facility | $7,573.00 | $9,875.00 | $34,239.00 | |
Medica
| Facility | $693.28 | $1,124.00 | $4,888.00 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 |