| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,002.50 | $19,002.50 | $19,002.50 | |
Cigna
| Facility | $28,807.79 | $33,128.96 | $53,743.63 | |
Medica
| Facility | $11,249.48 | $13,176.44 | $26,088.15 | |
United
| Facility | $11,249.48 | $13,176.44 | $26,609.58 |