| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,193.80 | $11,193.80 | $11,193.80 | |
Cigna
| Facility | $16,969.73 | $19,515.18 | $31,658.61 | |
Medica
| Facility | $6,093.90 | $6,626.70 | $15,367.68 | |
United
| Facility | $6,093.90 | $6,626.70 | $15,674.83 |