| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,493.80 | $17,493.80 | $17,493.80 | |
Cigna
| Facility | $26,520.53 | $30,498.60 | $49,476.52 | |
Medica
| Facility | $10,356.29 | $11,521.06 | $24,016.82 | |
United
| Facility | $10,356.29 | $11,521.06 | $24,496.85 |