| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,141.30 | $14,141.30 | $14,141.30 | |
Cigna
| Facility | $21,438.14 | $24,653.86 | $39,994.85 | |
Medica
| Facility | $8,046.76 | $8,371.62 | $19,414.24 | |
United
| Facility | $8,046.76 | $8,371.62 | $19,802.28 |