| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,906.25 | $8,906.25 | $8,906.25 | |
Cigna
| Facility | $13,501.88 | $15,527.16 | $25,189.01 | |
Medica
| Facility | $4,648.68 | $5,272.50 | $12,227.21 | |
United
| Facility | $4,648.68 | $5,272.50 | $12,471.60 |