| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,175.00 | $3,506.00 | $10,439.00 | |
Cigna
| Facility | $9,690.00 | $9,690.00 | $9,690.00 | |
Medica
| Facility | $55.00 | $129.33 | $2,704.00 | |
United
| Facility | $825.00 | $2,081.00 | $3,918.00 |