| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,846.30 | $13,846.30 | $13,846.30 | |
Cigna
| Facility | $20,990.92 | $24,139.55 | $39,160.51 | |
Medica
| Facility | $8,196.98 | $8,529.24 | $19,009.24 | |
United
| Facility | $8,196.98 | $8,529.24 | $19,389.18 |