| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $5,514.00 | $16,900.00 | |
Cigna
| Facility | $5,516.00 | $5,516.00 | $15,917.00 | |
Medica
| Facility | $1,100.00 | $2,686.79 | $14,587.03 | |
United
| Facility | $1,570.00 | $6,980.00 | $13,541.98 |