| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,048.79 | $10,048.79 | $10,048.79 | |
Cigna
| Facility | $15,233.91 | $17,518.99 | $28,420.28 | |
Medica
| Facility | $5,632.14 | $5,948.86 | $13,795.73 | |
United
| Facility | $5,632.14 | $10,450.70 | $13,553.75 |