| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,427.50 | $8,427.50 | $8,427.50 | |
Cigna
| Facility | $12,776.09 | $14,692.50 | $23,834.99 | |
Medica
| Facility | $3,300.00 | $4,989.08 | $9,071.36 | |
United
| Facility | $3,300.00 | $3,800.00 | $8,764.60 |