| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $14,450.00 | |
Cigna
| Facility | $11,432.00 | $11,432.00 | $11,432.00 | |
Medica
| Facility | $1,592.88 | $2,375.21 | $5,897.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |