| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $4,680.00 | $9,109.00 | |
Aetna
| Professional | $3,683.00 | $5,946.00 | $7,792.00 | |
Cigna
| Facility | $1,900.00 | $1,900.00 | $5,000.00 | |
Medica
| Facility | $6,288.00 | $26,989.00 | $48,372.00 | |
United
| Facility | $6,288.00 | $25,500.00 | $43,850.00 |