| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,495.00 | $3,569.00 | $10,439.00 | |
Cigna
| Facility | $330.00 | $330.00 | $330.00 | |
Medica
| Facility | $305.45 | $499.17 | $12,000.00 | |
United
| Facility | $2,729.00 | $8,000.00 | $34,727.00 |