| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,076.25 | $7,076.25 | $7,076.25 | |
Cigna
| Facility | $10,727.60 | $12,336.73 | $20,013.33 | |
Medica
| Facility | $4,162.50 | $4,189.14 | $9,714.84 | |
United
| Facility | $4,162.50 | $4,189.14 | $9,909.01 |