| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,856.25 | $7,856.25 | $7,856.25 | |
Cigna
| Facility | $11,910.08 | $13,696.59 | $22,219.36 | |
Medica
| Facility | $4,650.89 | $5,253.26 | $10,785.69 | |
United
| Facility | $4,615.55 | $5,253.26 | $11,001.26 |