| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.00 | $4,470.00 | $12,600.00 | |
Cigna
| Facility | $11,533.00 | $11,533.00 | $11,533.00 | |
Medica
| Facility | $443.14 | $1,485.00 | $5,897.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |