| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,878.75 | $9,878.75 | $9,878.75 | |
Cigna
| Facility | $14,976.19 | $17,222.61 | $27,939.48 | |
Medica
| Facility | $5,848.22 | $6,298.88 | $13,562.34 | |
United
| Facility | $5,848.22 | $6,298.88 | $13,833.41 |