| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,112.50 | $8,112.50 | $8,112.50 | |
Cigna
| Facility | $12,298.55 | $14,143.33 | $22,944.10 | |
Medica
| Facility | $4,802.60 | $4,992.04 | $11,137.49 | |
United
| Facility | $4,802.60 | $4,992.04 | $11,360.10 |