| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,500.00 | $8,747.00 | $16,039.00 | |
Cigna
| Facility | $7,573.00 | $9,875.00 | $34,239.00 | |
Medica
| Facility | $1,032.09 | $4,765.00 | $20,808.00 | |
United
| Facility | $4,096.00 | $8,916.00 | $31,505.00 |