| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,526.25 | $8,526.25 | $8,526.25 | |
Cigna
| Facility | $12,925.80 | $14,864.66 | $24,114.28 | |
Medica
| Facility | $5,047.54 | $5,476.74 | $11,705.52 | |
United
| Facility | $5,047.54 | $5,476.74 | $11,939.48 |