| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,066.60 | $14,066.60 | $14,066.60 | |
Cigna
| Facility | $9,803.92 | $11,193.48 | $11,193.48 | |
Medica
| Facility | $3,300.00 | $7,315.93 | $16,534.91 | |
United
| Facility | $3,300.00 | $7,315.93 | $17,084.83 |