| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,952.50 | $8,952.50 | $8,952.50 | |
Cigna
| Facility | $13,571.99 | $15,607.79 | $25,319.82 | |
Medica
| Facility | $5,299.88 | $5,789.76 | $12,290.71 | |
United
| Facility | $5,299.88 | $5,789.76 | $12,536.36 |