| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,376.29 | $10,376.29 | $10,376.29 | |
Cigna
| Facility | $15,730.40 | $18,089.95 | $29,346.53 | |
Medica
| Facility | $5,561.84 | $6,142.74 | $14,245.35 | |
United
| Facility | $5,561.84 | $6,142.74 | $14,530.07 |