| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $4,192.00 | $13,200.00 | |
Cigna
| Facility | $3,456.80 | $3,456.80 | $3,456.80 | |
Medica
| Facility | $1,039.00 | $3,948.00 | $9,412.67 | |
United
| Facility | $1,481.00 | $5,524.00 | $9,232.95 |