| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,007.50 | $10,007.50 | $10,007.50 | |
Cigna
| Facility | $15,171.37 | $17,447.08 | $28,303.61 | |
Medica
| Facility | $5,924.44 | $5,943.68 | $13,739.10 | |
United
| Facility | $5,924.44 | $5,943.68 | $14,013.70 |