| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,950.00 | $6,950.00 | $6,950.00 | |
Cigna
| Facility | $10,536.20 | $12,116.63 | $19,656.27 | |
Medica
| Facility | $4,114.39 | $5,865.98 | $9,541.52 | |
United
| Facility | $4,114.39 | $5,865.98 | $9,732.21 |