| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,489.63 | $13,489.63 | $13,489.63 | |
Cigna
| Facility | $20,892.96 | $23,988.33 | $38,018.94 | |
Medica
| Facility | $7,585.78 | $7,943.28 | $18,197.01 | |
United
| Facility | $7,585.78 | $14,125.38 | $18,197.01 |