| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,479.93 | $9,479.93 | $9,479.93 | |
Cigna
| Facility | $6,607.16 | $7,543.62 | $7,543.62 | |
Medica
| Facility | $3,300.00 | $4,989.08 | $10,883.81 | |
United
| Facility | $3,300.00 | $4,989.08 | $11,513.99 |