| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,623.75 | $8,623.75 | $8,623.75 | |
Cigna
| Facility | $13,073.61 | $15,034.65 | $24,390.03 | |
Medica
| Facility | $5,105.26 | $5,746.10 | $11,839.37 | |
United
| Facility | $5,105.26 | $5,746.10 | $12,076.01 |