| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,165.00 | $11,165.00 | $11,165.00 | |
Cigna
| Facility | $16,926.14 | $19,465.06 | $31,577.30 | |
Medica
| Facility | $6,338.84 | $6,609.68 | $15,328.21 | |
United
| Facility | $6,338.84 | $6,609.68 | $15,634.57 |