| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,762.47 | $7,762.47 | $7,762.47 | |
Cigna
| Facility | $12,302.69 | $14,125.38 | $22,387.21 | |
Medica
| Facility | $4,677.35 | $5,888.44 | $10,715.19 | |
United
| Facility | $4,677.35 | $8,317.64 | $10,471.29 |