| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,630.78 | $8,511.38 | $16,982.44 | |
Aetna
| Professional | $3,630.78 | $3,630.78 | $3,630.78 | |
Cigna
| Facility | $6,760.83 | $9,549.93 | $10,964.78 | |
Medica
| Facility | $3,890.45 | $10,000.00 | $51,286.14 | |
United
| Facility | $4,677.35 | $18,620.87 | $30,199.52 |