| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,438.75 | $9,438.75 | $9,438.75 | |
Cigna
| Facility | $14,309.15 | $16,455.52 | $26,695.05 | |
Medica
| Facility | $5,117.84 | $5,587.74 | $12,958.27 | |
United
| Facility | $5,117.84 | $5,587.74 | $13,217.27 |