| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,452.50 | $9,452.50 | $9,452.50 | |
Cigna
| Facility | $14,329.99 | $16,479.49 | $26,733.94 | |
Medica
| Facility | $5,595.88 | $5,625.48 | $12,977.15 | |
United
| Facility | $5,595.88 | $5,625.48 | $13,236.52 |