| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,522.50 | $16,522.50 | $16,522.50 | |
Cigna
| Facility | $25,048.11 | $28,805.33 | $46,729.60 | |
Medica
| Facility | $9,412.06 | $9,781.32 | $22,683.41 | |
United
| Facility | $9,412.06 | $9,781.32 | $23,136.79 |