| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,128.31 | $8,128.31 | $8,128.31 | |
Cigna
| Facility | $12,882.50 | $14,791.08 | $23,442.29 | |
Medica
| Facility | $4,897.79 | $5,623.41 | $11,220.18 | |
United
| Facility | $4,897.79 | $8,709.64 | $10,964.78 |