| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,666.30 | $10,666.30 | $10,666.30 | |
Cigna
| Facility | $16,170.04 | $18,595.54 | $30,166.71 | |
Medica
| Facility | $6,314.42 | $6,728.82 | $14,643.48 | |
United
| Facility | $6,314.42 | $6,728.82 | $14,936.16 |