| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,603.75 | $9,603.75 | $9,603.75 | |
Cigna
| Facility | $14,559.29 | $16,743.18 | $27,161.71 | |
Medica
| Facility | $5,467.12 | $5,685.42 | $13,184.80 | |
United
| Facility | $5,467.12 | $5,685.42 | $13,448.32 |