| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,454.71 | $5,888.44 | $8,317.64 | |
Cigna
| Facility | $5,011.87 | $7,762.47 | $12,302.69 | |
Medica
| Facility | $4,265.80 | $5,888.44 | $12,302.69 | |
United
| Facility | $3,715.35 | $5,754.40 | $10,471.29 |