| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.00 | $5,092.00 | $12,400.00 | |
Cigna
| Facility | $1,197.00 | $1,682.00 | $6,400.13 | |
Medica
| Facility | $400.00 | $1,000.00 | $10,000.00 | |
United
| Facility | $400.00 | $907.00 | $2,062.00 |