| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,685.00 | $10,685.00 | $10,685.00 | |
Cigna
| Facility | $16,198.46 | $18,628.23 | $30,219.74 | |
Medica
| Facility | $6,325.52 | $6,486.10 | $14,669.22 | |
United
| Facility | $6,325.52 | $6,486.10 | $14,962.42 |