| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,612.50 | $10,612.50 | $10,612.50 | |
Cigna
| Facility | $16,088.55 | $18,501.83 | $30,014.70 | |
Medica
| Facility | $6,282.60 | $7,095.12 | $14,569.69 | |
United
| Facility | $6,282.60 | $7,095.12 | $14,860.90 |