| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,742.50 | $18,742.50 | $18,742.50 | |
Cigna
| Facility | $28,413.63 | $32,675.67 | $53,008.29 | |
Medica
| Facility | $11,095.56 | $11,234.68 | $25,731.20 | |
United
| Facility | $11,095.56 | $11,234.68 | $26,245.50 |