| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,397.50 | $19,397.50 | $19,397.50 | |
Cigna
| Facility | $29,406.61 | $33,817.60 | $54,860.79 | |
Medica
| Facility | $11,483.32 | $11,566.20 | $26,630.44 | |
United
| Facility | $11,483.32 | $20,286.68 | $26,163.35 |