| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,095.60 | $16,095.60 | $16,095.60 | |
Cigna
| Facility | $12,371.92 | $12,808.05 | $12,808.05 | |
Medica
| Facility | $7,555.02 | $10,645.71 | $19,192.25 | |
United
| Facility | $7,555.02 | $10,645.71 | $19,549.18 |