| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,495.00 | $3,506.00 | $10,439.00 | |
Cigna
| Facility | $15,423.00 | $22,968.00 | $34,239.00 | |
Medica
| Facility | $55.00 | $1,615.97 | $9,660.00 | |
United
| Facility | $2,269.00 | $6,170.00 | $16,548.00 |