| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,196.25 | $9,196.25 | $9,196.25 | |
Cigna
| Facility | $13,941.52 | $16,032.74 | $26,009.20 | |
Medica
| Facility | $5,444.18 | $5,712.80 | $12,625.35 | |
United
| Facility | $5,444.18 | $5,712.80 | $12,877.69 |