| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,146.40 | $10,146.40 | $10,146.40 | |
Cigna
| Facility | $7,799.05 | $8,073.98 | $8,073.98 | |
Medica
| Facility | $4,762.56 | $6,710.88 | $12,764.10 | |
United
| Facility | $4,762.56 | $6,710.88 | $12,323.48 |