| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $3,803.00 | $12,600.00 | |
Cigna
| Facility | $1,351.42 | $1,351.42 | $1,351.42 | |
Medica
| Facility | $716.92 | $979.52 | $5,558.80 | |
United
| Facility | $884.00 | $3,317.00 | $5,543.93 |