| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,648.70 | $15,648.70 | $15,648.70 | |
Cigna
| Facility | $23,723.51 | $27,282.03 | $44,258.42 | |
Medica
| Facility | $8,799.34 | $9,264.06 | $21,483.86 | |
United
| Facility | $8,799.34 | $9,264.06 | $21,913.26 |