| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,361.00 | $3,506.00 | $10,439.00 | |
Cigna
| Facility | $9,690.00 | $9,690.00 | $9,690.00 | |
Medica
| Facility | $75.84 | $139.59 | $12,000.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |