| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,183.75 | $8,183.75 | $8,183.75 | |
Cigna
| Facility | $12,406.57 | $14,267.55 | $23,145.61 | |
Medica
| Facility | $4,844.78 | $5,974.02 | $11,235.31 | |
United
| Facility | $4,844.78 | $5,974.02 | $11,459.87 |