| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,853.80 | $15,853.80 | $15,853.80 | |
Cigna
| Facility | $24,034.29 | $27,639.43 | $44,838.21 | |
Medica
| Facility | $9,139.00 | $9,385.42 | $21,765.30 | |
United
| Facility | $9,139.00 | $9,385.42 | $22,200.32 |