| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,562.50 | $7,562.50 | $7,562.50 | |
Cigna
| Facility | $11,464.75 | $13,184.46 | $21,388.57 | |
Medica
| Facility | $4,477.00 | $4,656.08 | $10,382.41 | |
United
| Facility | $4,477.00 | $4,656.08 | $10,589.92 |