| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,415.00 | $8,415.00 | $8,415.00 | |
Cigna
| Facility | $12,757.14 | $14,670.71 | $23,799.64 | |
Medica
| Facility | $4,906.20 | $4,981.68 | $11,552.79 | |
United
| Facility | $4,906.20 | $4,981.68 | $11,783.69 |