| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,688.75 | $5,688.75 | $5,688.75 | |
Cigna
| Facility | $8,624.15 | $9,917.77 | $16,089.15 | |
Medica
| Facility | $3,367.74 | $3,589.00 | $7,809.97 | |
United
| Facility | $3,367.74 | $3,589.00 | $7,966.07 |