| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,771.25 | $9,771.25 | $9,771.25 | |
Cigna
| Facility | $14,813.22 | $17,035.20 | $27,635.44 | |
Medica
| Facility | $5,784.58 | $6,025.08 | $13,414.75 | |
United
| Facility | $5,784.58 | $10,162.10 | $13,179.46 |