| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $3,803.00 | $12,600.00 | |
Cigna
| Facility | $1,937.60 | $1,937.60 | $1,937.60 | |
Medica
| Facility | $1,073.91 | $1,620.62 | $5,847.50 | |
United
| Facility | $884.00 | $2,900.00 | $5,543.93 |