| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,925.00 | $7,925.00 | $7,925.00 | |
Cigna
| Facility | $12,014.30 | $13,816.45 | $22,413.80 | |
Medica
| Facility | $4,691.60 | $4,861.06 | $10,880.07 | |
United
| Facility | $4,691.60 | $4,861.06 | $11,097.54 |