| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,597.50 | $14,597.50 | $14,597.50 | |
Cigna
| Facility | $22,129.81 | $25,449.28 | $41,285.23 | |
Medica
| Facility | $7,676.76 | $8,641.71 | $20,040.62 | |
United
| Facility | $7,676.76 | $8,641.71 | $20,441.16 |