| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,308.80 | $14,308.80 | $14,308.80 | |
Cigna
| Facility | $21,692.07 | $24,945.87 | $40,468.58 | |
Medica
| Facility | $8,470.78 | $14,881.10 | $19,644.20 | |
United
| Facility | $8,470.78 | $8,470.78 | $20,036.83 |