| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,848.93 | $15,848.93 | $21,379.62 | |
Cigna
| Facility | $16,595.87 | $16,982.44 | $16,982.44 | |
Medica
| Facility | $10,000.00 | $14,125.38 | $25,118.86 | |
United
| Facility | $10,964.78 | $15,488.17 | $25,703.96 |