| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,996.25 | $8,996.25 | $8,996.25 | |
Cigna
| Facility | $13,638.32 | $15,684.06 | $25,443.55 | |
Medica
| Facility | $5,325.78 | $5,365.74 | $12,350.77 | |
United
| Facility | $5,325.78 | $5,365.74 | $12,597.63 |