| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,258.93 | $3,981.07 | $10,715.19 | |
Cigna
| Facility | $5,495.41 | $5,495.41 | $15,848.93 | |
Medica
| Facility | $724.44 | $17,782.79 | $38,018.94 | |
United
| Facility | $6,918.31 | $21,379.62 | $36,307.81 |