| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,638.75 | $8,638.75 | $8,638.75 | |
Cigna
| Facility | $13,096.35 | $15,060.80 | $24,432.46 | |
Medica
| Facility | $4,925.43 | $5,114.14 | $11,859.97 | |
United
| Facility | $4,925.43 | $5,114.14 | $12,097.01 |