| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,800.00 | $7,952.00 | $7,952.00 | |
Cigna
| Facility | $3,012.00 | $3,012.00 | $3,012.00 | |
Medica
| Facility | $1,509.00 | $5,516.66 | $18,950.63 | |
United
| Facility | $616.00 | $1,187.00 | $1,709.00 |