| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,831.25 | $9,831.25 | $9,831.25 | |
Cigna
| Facility | $14,904.18 | $17,139.80 | $27,805.13 | |
Medica
| Facility | $5,615.86 | $5,820.10 | $13,497.13 | |
United
| Facility | $5,615.86 | $5,820.10 | $13,766.90 |