| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,753.80 | $18,753.80 | $18,753.80 | |
Cigna
| Facility | $28,430.69 | $32,695.29 | $53,040.11 | |
Medica
| Facility | $11,102.22 | $11,860.72 | $25,746.65 | |
United
| Facility | $11,102.22 | $11,860.72 | $26,261.25 |