| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,422.50 | $9,422.50 | $9,422.50 | |
Cigna
| Facility | $14,284.51 | $16,427.18 | $26,649.09 | |
Medica
| Facility | $5,578.12 | $6,251.52 | $12,935.96 | |
United
| Facility | $5,578.12 | $6,251.52 | $13,194.52 |