| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $7,594.00 | $14,670.00 | |
Cigna
| Facility | $11,160.00 | $11,160.00 | $11,160.00 | |
Medica
| Facility | $809.91 | $1,671.89 | $12,650.00 | |
United
| Facility | $1,791.00 | $6,145.00 | $13,689.00 |