| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $2,570.40 | $3,162.28 | |
Cigna
| Facility | $50,118.72 | $50,118.72 | $50,118.72 | |
Medica
| Facility | $977.24 | $977.24 | $1,513.56 | |
United
| Facility | $537.03 | $1,348.96 | $1,513.56 |