| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,453.79 | $10,453.79 | $10,453.79 | |
Cigna
| Facility | $15,847.89 | $18,225.07 | $29,565.71 | |
Medica
| Facility | $5,547.78 | $6,188.62 | $14,351.74 | |
United
| Facility | $5,547.78 | $10,871.90 | $14,100.02 |