| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,400.00 | $7,655.00 | $14,450.00 | |
Cigna
| Facility | $13,330.00 | $13,330.00 | $13,330.00 | |
Medica
| Facility | $1,089.63 | $2,131.11 | $26,542.00 | |
United
| Facility | $4,500.00 | $10,391.00 | $56,052.00 |