| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,828.80 | $14,828.80 | $14,828.80 | |
Cigna
| Facility | $22,480.39 | $25,852.44 | $41,939.26 | |
Medica
| Facility | $7,739.66 | $8,778.62 | $20,358.09 | |
United
| Facility | $7,739.66 | $8,778.62 | $20,765.00 |