| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $4,856.00 | $14,100.00 | |
Cigna
| Facility | $5,659.86 | $5,659.86 | $5,659.86 | |
Medica
| Facility | $780.52 | $1,082.57 | $7,405.00 | |
United
| Facility | $1,157.00 | $4,054.00 | $7,077.94 |