| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,549.93 | $9,549.93 | $9,549.93 | |
Cigna
| Facility | $14,791.08 | $16,982.44 | $26,915.35 | |
Medica
| Facility | $5,623.41 | $5,754.40 | $13,182.57 | |
United
| Facility | $5,623.41 | $10,232.93 | $12,882.50 |