| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,076.29 | $10,076.29 | $10,076.29 | |
Cigna
| Facility | $15,275.60 | $17,566.93 | $28,498.05 | |
Medica
| Facility | $5,630.66 | $5,965.14 | $13,833.48 | |
United
| Facility | $5,630.66 | $5,965.14 | $14,109.97 |