| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,072.50 | $17,072.50 | $17,072.50 | |
Cigna
| Facility | $25,881.91 | $29,764.20 | $48,285.13 | |
Medica
| Facility | $9,658.48 | $10,106.92 | $23,438.49 | |
United
| Facility | $9,658.48 | $10,106.92 | $23,906.96 |