| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $5,511.00 | $16,900.00 | |
Cigna
| Facility | $2,321.00 | $2,321.00 | $2,321.00 | |
Medica
| Facility | $1,330.49 | $2,212.81 | $19,869.87 | |
United
| Facility | $1,960.00 | $9,469.00 | $20,190.00 |