| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,376.20 | $13,376.20 | $13,376.20 | |
Cigna
| Facility | $20,278.40 | $23,320.15 | $37,831.25 | |
Medica
| Facility | $7,918.74 | $8,695.00 | $18,363.99 | |
United
| Facility | $7,918.74 | $8,695.00 | $18,731.03 |