| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,797.00 | $5,939.00 | $13,200.00 | |
Cigna
| Facility | $11,432.00 | $11,432.00 | $11,432.00 | |
Medica
| Facility | $1,056.00 | $1,816.52 | $6,861.54 | |
United
| Facility | $1,698.42 | $4,916.00 | $11,732.00 |