| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.00 | $4,728.00 | $14,100.00 | |
Cigna
| Facility | $2,321.00 | $2,321.00 | $2,321.00 | |
Medica
| Facility | $1,030.00 | $2,169.64 | $7,405.00 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |