| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,382.50 | $10,382.50 | $10,382.50 | |
Cigna
| Facility | $15,739.87 | $18,100.84 | $29,364.20 | |
Medica
| Facility | $5,764.60 | $6,146.44 | $14,253.93 | |
United
| Facility | $5,764.60 | $10,797.80 | $14,003.92 |