| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,294.00 | $7,102.00 | $7,102.00 | |
Cigna
| Facility | $2,101.19 | $2,101.19 | $2,626.50 | |
Medica
| Facility | $500.00 | $2,104.19 | $13,383.00 | |
United
| Facility | $500.00 | $500.00 | $1,453.00 |