| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,715.19 | $10,715.19 | $10,715.19 | |
Cigna
| Facility | $16,982.44 | $19,498.45 | $30,902.95 | |
Medica
| Facility | $6,456.54 | $6,606.93 | $14,791.08 | |
United
| Facility | $6,456.54 | $11,481.54 | $14,454.40 |