| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,969.23 | $15,281.30 | $22,392.50 | |
Cigna
| Facility | $2,200.00 | $10,741.13 | $20,216.45 | |
Medica
| Facility | $9,592.04 | $18,256.70 | $25,576.30 | |
United
| Facility | $17,993.25 | $19,915.53 | $25,576.30 |