| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,612.50 | $8,612.50 | $8,612.50 | |
Cigna
| Facility | $13,056.55 | $15,015.03 | $24,358.22 | |
Medica
| Facility | $5,098.60 | $5,151.88 | $11,823.93 | |
United
| Facility | $5,098.60 | $5,151.88 | $12,060.26 |