| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,020.00 | $9,020.00 | $9,020.00 | |
Cigna
| Facility | $13,674.32 | $15,725.47 | $25,510.72 | |
Medica
| Facility | $5,339.84 | $9,380.79 | $12,383.38 | |
United
| Facility | $5,339.84 | $5,339.84 | $12,630.89 |