| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,092.50 | $10,092.50 | $10,092.50 | |
Cigna
| Facility | $15,300.23 | $17,595.25 | $28,544.01 | |
Medica
| Facility | $5,669.88 | $5,974.76 | $13,855.79 | |
United
| Facility | $5,669.88 | $5,974.76 | $14,132.73 |