| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,745.00 | $9,745.00 | $9,745.00 | |
Cigna
| Facility | $14,773.42 | $16,989.43 | $27,561.20 | |
Medica
| Facility | $5,618.82 | $5,769.04 | $13,378.72 | |
United
| Facility | $5,618.82 | $5,769.04 | $13,646.12 |