| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,195.00 | $11,195.00 | $11,195.00 | |
Cigna
| Facility | $16,971.62 | $19,517.36 | $31,662.15 | |
Medica
| Facility | $5,593.66 | $6,627.44 | $15,369.39 | |
United
| Facility | $5,593.66 | $6,627.44 | $15,676.58 |