| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,054.61 | $19,054.61 | $19,054.61 | |
Cigna
| Facility | $29,512.09 | $34,673.69 | $53,703.18 | |
Medica
| Facility | $10,964.78 | $11,481.54 | $26,302.68 | |
United
| Facility | $10,964.78 | $20,417.38 | $25,703.96 |