| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,075.00 | $7,075.00 | $7,075.00 | |
Cigna
| Facility | $10,725.70 | $12,334.56 | $20,009.80 | |
Medica
| Facility | $4,188.39 | $4,984.64 | $9,713.12 | |
United
| Facility | $4,188.39 | $4,984.64 | $9,907.26 |