| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,543.80 | $19,543.80 | $19,543.80 | |
Cigna
| Facility | $29,628.33 | $34,072.57 | $55,274.42 | |
Medica
| Facility | $10,750.72 | $11,569.90 | $26,831.22 | |
United
| Facility | $10,750.72 | $11,569.90 | $27,367.50 |