| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,789.50 | $24,789.50 | $24,789.50 | |
Cigna
| Facility | $19,054.50 | $19,726.21 | $19,726.21 | |
Medica
| Facility | $11,635.80 | $16,395.90 | $30,897.52 | |
United
| Facility | $11,635.80 | $16,395.90 | $30,108.51 |