| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,366.25 | $9,366.25 | $9,366.25 | |
Cigna
| Facility | $14,199.24 | $16,329.12 | $26,490.00 | |
Medica
| Facility | $5,544.82 | $5,749.06 | $12,858.74 | |
United
| Facility | $5,544.82 | $5,749.06 | $13,115.75 |