| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,196.25 | $8,196.25 | $8,196.25 | |
Cigna
| Facility | $12,425.52 | $14,289.34 | $23,180.96 | |
Medica
| Facility | $4,852.18 | $5,607.72 | $11,252.47 | |
United
| Facility | $4,852.18 | $5,607.72 | $11,477.37 |