| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,243.80 | $18,243.80 | $18,243.80 | |
Cigna
| Facility | $27,657.53 | $31,806.15 | $51,597.70 | |
Medica
| Facility | $10,800.30 | $11,817.06 | $25,046.48 | |
United
| Facility | $10,800.30 | $11,817.06 | $25,547.09 |