| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,856.25 | $8,856.25 | $8,856.25 | |
Cigna
| Facility | $13,426.08 | $15,439.99 | $25,047.60 | |
Medica
| Facility | $4,981.68 | $5,242.90 | $12,158.57 | |
United
| Facility | $4,981.68 | $5,242.90 | $12,401.58 |