| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,880.00 | $7,880.00 | $7,880.00 | |
Cigna
| Facility | $11,946.08 | $13,737.99 | $22,286.53 | |
Medica
| Facility | $4,664.96 | $4,770.04 | $10,818.29 | |
United
| Facility | $4,664.96 | $4,770.04 | $11,034.52 |