| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,862.00 | $6,653.00 | $9,583.00 | |
Cigna
| Facility | $2,212.00 | $15,639.00 | $15,639.00 | |
ConnectiCare
| Facility | $4,302.00 | $4,390.00 | $4,645.51 | |
United
| Facility | $1,380.00 | $3,075.00 | $6,664.00 |