| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,131.25 | $7,131.25 | $7,131.25 | |
Cigna
| Facility | $10,810.98 | $12,432.62 | $20,168.89 | |
Medica
| Facility | $4,221.70 | $4,754.50 | $9,790.35 | |
United
| Facility | $4,221.70 | $4,754.50 | $9,986.03 |