| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $13,920.00 | |
Cigna
| Facility | $13,330.00 | $13,330.00 | $13,330.00 | |
Medica
| Facility | $446.25 | $1,845.52 | $23,953.30 | |
United
| Facility | $2,729.00 | $8,000.00 | $17,483.00 |