| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,741.30 | $13,741.30 | $13,741.30 | |
Cigna
| Facility | $20,831.74 | $23,956.50 | $38,863.55 | |
Medica
| Facility | $7,852.14 | $8,134.82 | $18,865.09 | |
United
| Facility | $7,852.14 | $8,134.82 | $19,242.15 |