| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,258.80 | $12,258.80 | $12,258.80 | |
Cigna
| Facility | $18,584.27 | $21,371.90 | $34,670.69 | |
Medica
| Facility | $7,180.22 | $7,257.18 | $16,829.79 | |
United
| Facility | $7,180.22 | $7,257.18 | $17,166.16 |