| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,606.93 | $6,606.93 | $6,606.93 | |
Cigna
| Facility | $10,232.93 | $11,748.98 | $18,620.87 | |
Medica
| Facility | $3,890.45 | $6,760.83 | $8,912.51 | |
United
| Facility | $3,890.45 | $7,079.46 | $9,120.11 |