| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,175.00 | $9,175.00 | $9,175.00 | |
Cigna
| Facility | $13,909.30 | $15,995.70 | $25,949.10 | |
Medica
| Facility | $5,416.06 | $5,431.60 | $12,596.17 | |
United
| Facility | $5,416.06 | $5,431.60 | $12,847.94 |