| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,972.50 | $11,972.50 | $11,972.50 | |
Cigna
| Facility | $18,150.31 | $20,872.86 | $33,861.10 | |
Medica
| Facility | $4,300.00 | $6,800.00 | $12,887.20 | |
United
| Facility | $4,300.00 | $5,700.00 | $12,451.40 |