| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,103.80 | $15,103.80 | $15,103.80 | |
Cigna
| Facility | $22,897.29 | $26,331.88 | $42,717.03 | |
Medica
| Facility | $8,941.42 | $10,266.76 | $20,735.64 | |
United
| Facility | $8,941.42 | $10,266.76 | $21,150.08 |