| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,521.30 | $16,521.30 | $16,521.30 | |
Cigna
| Facility | $25,046.22 | $28,803.15 | $46,726.06 | |
Medica
| Facility | $9,780.58 | $13,267.46 | $22,681.69 | |
United
| Facility | $9,780.58 | $13,267.46 | $23,135.04 |