| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,503.75 | $7,503.75 | $7,503.75 | |
Cigna
| Facility | $11,375.69 | $13,082.04 | $21,222.41 | |
Medica
| Facility | $4,442.22 | $4,650.16 | $10,301.75 | |
United
| Facility | $4,442.22 | $4,650.16 | $10,507.65 |