| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,338.00 | $6,094.04 | $6,094.04 | |
Cigna
| Professional | $157.88 | $173.74 | $217.17 | |
Medica
| Facility | $821.00 | $821.00 | $821.00 | |
United
| Facility | $821.00 | $821.00 | $821.00 |