| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,515.00 | $10,515.00 | $10,515.00 | |
Cigna
| Facility | $15,940.74 | $18,331.84 | $29,738.94 | |
Medica
| Facility | $6,224.88 | $6,468.34 | $14,435.83 | |
United
| Facility | $6,224.88 | $6,468.34 | $14,724.36 |