| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.00 | $7,403.00 | $17,197.54 | |
Cigna
| Facility | $1,475.00 | $3,177.00 | $10,332.00 | |
Medica
| Facility | $408.00 | $1,177.00 | $13,383.00 | |
United
| Facility | $400.00 | $1,050.00 | $3,257.00 |