| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,555.00 | $8,555.00 | $8,555.00 | |
Cigna
| Facility | $12,969.38 | $14,914.79 | $24,195.59 | |
Medica
| Facility | $5,064.56 | $5,524.84 | $11,744.99 | |
United
| Facility | $5,064.56 | $5,524.84 | $11,979.74 |