| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,765.00 | $7,765.00 | $7,765.00 | |
Cigna
| Facility | $11,771.74 | $13,537.50 | $21,961.28 | |
Medica
| Facility | $4,596.88 | $4,630.18 | $10,660.41 | |
United
| Facility | $4,596.88 | $4,630.18 | $10,873.48 |