| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $4,376.00 | $12,600.00 | |
Cigna
| Facility | $6,573.00 | $6,573.00 | $6,573.00 | |
Medica
| Facility | $990.49 | $1,562.84 | $26,542.00 | |
United
| Facility | $3,081.00 | $7,792.00 | $32,352.00 |