| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,016.30 | $12,016.30 | $12,016.30 | |
Cigna
| Facility | $18,216.64 | $20,949.13 | $33,984.83 | |
Medica
| Facility | $6,614.12 | $7,113.62 | $16,496.87 | |
United
| Facility | $6,614.12 | $7,113.62 | $16,826.59 |