| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,121.25 | $9,121.25 | $9,121.25 | |
Cigna
| Facility | $13,827.82 | $15,901.99 | $25,797.08 | |
Medica
| Facility | $5,399.78 | $5,835.64 | $12,522.38 | |
United
| Facility | $5,399.78 | $5,835.64 | $12,772.67 |