| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,341.29 | $10,341.29 | $10,341.29 | |
Cigna
| Facility | $15,677.34 | $18,028.93 | $29,247.54 | |
Medica
| Facility | $5,857.84 | $6,122.02 | $14,197.30 | |
United
| Facility | $5,857.84 | $6,122.02 | $14,481.06 |