| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,822.50 | $9,822.50 | $9,822.50 | |
Cigna
| Facility | $14,890.91 | $17,124.55 | $27,780.39 | |
Medica
| Facility | $5,651.38 | $5,814.92 | $13,485.11 | |
United
| Facility | $5,651.38 | $5,814.92 | $13,754.64 |