| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,439.00 | $4,195.00 | $13,200.00 | |
Cigna
| Facility | $5,659.86 | $5,659.86 | $5,659.86 | |
Medica
| Facility | $2,747.13 | $3,960.98 | $12,719.00 | |
United
| Facility | $1,851.00 | $6,980.00 | $14,139.00 |