| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,302.69 | $12,302.69 | $12,302.69 | |
Cigna
| Facility | $19,054.61 | $21,877.62 | $34,673.69 | |
Medica
| Facility | $6,918.31 | $7,244.36 | $16,982.44 | |
United
| Facility | $6,918.31 | $13,182.57 | $16,595.87 |