| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,070.00 | $4,919.00 | $12,600.00 | |
Cigna
| Facility | $6,573.00 | $6,573.00 | $6,573.00 | |
Medica
| Facility | $888.55 | $1,366.42 | $9,451.00 | |
United
| Facility | $1,779.00 | $3,647.00 | $6,988.00 |