| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,092.50 | $9,092.50 | $9,092.50 | |
Cigna
| Facility | $13,784.23 | $15,851.86 | $25,715.77 | |
Medica
| Facility | $5,382.76 | $5,640.28 | $12,482.91 | |
United
| Facility | $5,382.76 | $9,456.20 | $12,263.96 |