| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,898.80 | $19,898.80 | $19,898.80 | |
Cigna
| Facility | $30,166.51 | $34,691.48 | $56,278.44 | |
Medica
| Facility | $11,780.06 | $13,595.28 | $27,318.60 | |
United
| Facility | $11,780.06 | $13,595.28 | $27,864.62 |