| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,488.17 | $15,488.17 | $15,488.17 | |
Cigna
| Facility | $23,988.33 | $27,542.29 | $43,651.58 | |
Medica
| Facility | $9,120.11 | $9,120.11 | $21,379.62 | |
United
| Facility | $9,120.11 | $16,595.87 | $20,892.96 |