| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,693.80 | $14,693.80 | $14,693.80 | |
Cigna
| Facility | $22,275.73 | $25,617.08 | $41,557.44 | |
Medica
| Facility | $8,241.37 | $8,698.70 | $20,172.75 | |
United
| Facility | $8,241.37 | $8,698.70 | $20,575.95 |