| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $5,370.32 | $8,912.51 | |
Cigna
| Facility | $4,073.80 | $6,456.54 | $10,232.93 | |
Medica
| Facility | $3,467.37 | $4,786.30 | $10,000.00 | |
United
| Facility | $3,019.95 | $4,786.30 | $8,709.64 |