| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,395.00 | $9,395.00 | $9,395.00 | |
Cigna
| Facility | $14,242.82 | $16,379.24 | $26,571.31 | |
Medica
| Facility | $5,211.08 | $5,561.84 | $12,898.21 | |
United
| Facility | $5,211.08 | $5,561.84 | $13,156.01 |