| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,000.00 | $6,560.00 | $13,151.00 | |
Cigna
| Facility | $6,573.00 | $6,573.00 | $6,573.00 | |
Medica
| Facility | $55.00 | $1,281.44 | $2,104.90 | |
United
| Facility | $191.00 | $550.00 | $27,459.00 |