| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,953.75 | $9,953.75 | $9,953.75 | |
Cigna
| Facility | $15,089.89 | $17,353.37 | $28,151.59 | |
Medica
| Facility | $5,394.60 | $5,892.62 | $13,665.30 | |
United
| Facility | $5,394.60 | $5,892.62 | $13,938.44 |