| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,163.00 | $3,779.00 | $12,600.00 | |
Cigna
| Facility | $2,321.00 | $2,321.00 | $2,321.00 | |
Medica
| Facility | $1,385.19 | $1,970.40 | $5,394.82 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |