| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,752.50 | $14,752.50 | $14,752.50 | |
Cigna
| Facility | $22,364.79 | $25,719.51 | $41,723.61 | |
Medica
| Facility | $8,643.94 | $8,733.48 | $20,253.41 | |
United
| Facility | $8,643.94 | $8,733.48 | $20,658.22 |