| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,617.50 | $9,617.50 | $9,617.50 | |
Cigna
| Facility | $14,580.13 | $16,767.15 | $27,200.60 | |
Medica
| Facility | $5,693.56 | $6,463.16 | $13,203.67 | |
United
| Facility | $5,693.56 | $6,463.16 | $13,467.58 |