| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,628.80 | $12,628.80 | $12,628.80 | |
Cigna
| Facility | $19,145.18 | $22,016.96 | $35,717.14 | |
Medica
| Facility | $7,476.22 | $7,630.14 | $17,337.75 | |
United
| Facility | $7,476.22 | $7,630.14 | $17,684.29 |