| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,497.50 | $2,497.50 | $2,497.50 | |
Cigna
| Facility | $3,786.21 | $4,354.14 | $7,063.53 | |
Medica
| Facility | $640.00 | $750.00 | $2,688.31 | |
United
| Facility | $640.00 | $750.00 | $2,597.40 |