| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,452.50 | $10,452.50 | $10,452.50 | |
Cigna
| Facility | $15,845.99 | $18,222.89 | $29,562.18 | |
Medica
| Facility | $6,032.48 | $6,187.88 | $14,350.03 | |
United
| Facility | $6,032.48 | $6,187.88 | $14,636.84 |