| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,216.30 | $12,216.30 | $12,216.30 | |
Cigna
| Facility | $18,519.84 | $21,297.81 | $34,550.49 | |
Medica
| Facility | $7,232.02 | $7,278.64 | $16,771.45 | |
United
| Facility | $7,232.02 | $7,278.64 | $17,106.66 |