| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,019.95 | $6,456.54 | $10,471.29 | |
Aetna
| Professional | $3,019.95 | $16,595.87 | $16,595.87 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Medica
| Facility | $1,737.80 | $6,165.95 | $13,803.84 | |
United
| Facility | $2,818.38 | $6,918.31 | $12,302.69 |