| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,282.70 | $21,282.70 | $21,282.70 | |
Cigna
| Facility | $16,358.99 | $16,935.66 | $16,935.66 | |
Medica
| Facility | $9,989.76 | $14,076.48 | $25,842.43 | |
United
| Facility | $9,989.76 | $14,076.48 | $25,849.26 |