| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,120.11 | $9,120.11 | $9,120.11 | |
Cigna
| Facility | $14,125.38 | $16,218.10 | $25,703.96 | |
Medica
| Facility | $5,370.32 | $9,332.54 | $12,302.69 | |
United
| Facility | $5,370.32 | $9,772.37 | $12,589.25 |