| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,425.00 | $9,425.00 | $9,425.00 | |
Cigna
| Facility | $14,288.30 | $16,431.55 | $26,656.16 | |
Medica
| Facility | $3,300.00 | $5,400.00 | $10,145.07 | |
United
| Facility | $3,300.00 | $3,800.00 | $9,802.00 |