| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,872.50 | $9,872.50 | $9,872.50 | |
Cigna
| Facility | $14,966.71 | $17,211.72 | $27,921.80 | |
Medica
| Facility | $5,844.52 | $6,316.64 | $13,553.76 | |
United
| Facility | $5,844.52 | $6,316.64 | $13,824.66 |