| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $3,803.00 | $12,600.00 | |
Cigna
| Facility | $23,947.68 | $23,947.68 | $23,947.68 | |
Medica
| Facility | $1,157.00 | $1,680.08 | $6,710.71 | |
United
| Facility | $1,157.00 | $4,424.00 | $7,077.94 |