| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,787.50 | $12,787.50 | $12,787.50 | |
Cigna
| Facility | $19,385.84 | $22,293.73 | $36,166.12 | |
Medica
| Facility | $6,932.32 | $7,570.20 | $17,555.70 | |
United
| Facility | $6,932.32 | $7,570.20 | $17,906.59 |