| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,473.80 | $17,473.80 | $17,473.80 | |
Cigna
| Facility | $26,490.21 | $30,463.74 | $49,419.96 | |
Medica
| Facility | $10,344.45 | $10,422.90 | $23,989.36 | |
United
| Facility | $10,344.45 | $10,422.90 | $24,468.84 |