| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,328.70 | $14,328.70 | $14,328.70 | |
Cigna
| Facility | $21,722.39 | $24,980.74 | $40,525.14 | |
Medica
| Facility | $8,482.62 | $8,699.44 | $19,671.65 | |
United
| Facility | $8,482.62 | $8,699.44 | $20,064.84 |