| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,150.00 | $3,803.00 | $12,600.00 | |
Cigna
| Facility | $2,545.78 | $2,545.78 | $2,545.78 | |
Medica
| Facility | $476.81 | $681.15 | $11,495.55 | |
United
| Facility | $1,851.00 | $6,871.00 | $14,139.00 |