| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $3,779.00 | $12,600.00 | |
Cigna
| Facility | $1,655.49 | $1,655.49 | $1,655.49 | |
Medica
| Facility | $993.03 | $2,495.00 | $7,992.00 | |
United
| Facility | $1,157.00 | $4,054.00 | $7,077.94 |