| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,652.50 | $8,652.50 | $8,652.50 | |
Cigna
| Facility | $13,117.19 | $15,084.77 | $24,471.35 | |
Medica
| Facility | $5,122.28 | $5,824.54 | $11,878.84 | |
United
| Facility | $5,122.28 | $5,824.54 | $12,116.27 |