| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,025.00 | $8,025.00 | $8,025.00 | |
Cigna
| Facility | $12,165.90 | $13,990.79 | $22,696.63 | |
Medica
| Facility | $4,750.80 | $5,376.10 | $11,017.36 | |
United
| Facility | $4,750.80 | $5,376.10 | $11,237.57 |