| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,683.00 | $18,600.00 | |
Aetna
| Professional | $47.86 | $47.86 | $47.86 | |
Cigna
| Professional | $7.60 | $7.60 | $7.60 | |
Medica
| Facility | $47.86 | $525.53 | $1,582.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |