| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,038.75 | $9,038.75 | $9,038.75 | |
Cigna
| Facility | $13,702.75 | $15,758.16 | $25,563.75 | |
Medica
| Facility | $5,350.94 | $5,613.64 | $12,409.12 | |
United
| Facility | $5,350.94 | $5,613.64 | $12,657.14 |