| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,963.75 | $9,963.75 | $9,963.75 | |
Cigna
| Facility | $15,105.05 | $17,370.80 | $28,179.88 | |
Medica
| Facility | $5,898.54 | $6,024.34 | $13,679.03 | |
United
| Facility | $5,898.54 | $6,024.34 | $13,952.44 |