| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $8,101.00 | $14,555.00 | |
Cigna
| Facility | $624.00 | $624.00 | $624.00 | |
Medica
| Facility | $1,523.39 | $2,331.85 | $8,000.00 | |
United
| Facility | $2,729.00 | $8,000.00 | $17,483.00 |