| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,965.00 | $8,965.00 | $8,965.00 | |
Cigna
| Facility | $13,590.94 | $15,629.58 | $25,355.17 | |
Medica
| Facility | $5,307.28 | $5,914.08 | $12,307.87 | |
United
| Facility | $5,307.28 | $5,914.08 | $12,553.87 |