| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,842.50 | $9,842.50 | $9,842.50 | |
Cigna
| Facility | $14,921.23 | $17,159.41 | $27,836.95 | |
Medica
| Facility | $5,826.76 | $6,993.74 | $13,512.57 | |
United
| Facility | $5,826.76 | $6,993.74 | $13,782.65 |