| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,433.80 | $11,433.80 | $11,433.80 | |
Cigna
| Facility | $17,333.57 | $19,933.59 | $32,337.39 | |
Medica
| Facility | $6,156.80 | $6,768.78 | $15,697.17 | |
United
| Facility | $6,156.80 | $6,768.78 | $16,010.91 |