| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,800.00 | $6,800.00 | $6,800.00 | |
Cigna
| Facility | $10,308.79 | $11,855.12 | $19,232.03 | |
Medica
| Facility | $4,025.60 | $4,414.84 | $9,335.58 | |
United
| Facility | $4,025.60 | $4,414.84 | $9,522.18 |