| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,947.50 | $10,947.50 | $10,947.50 | |
Cigna
| Facility | $16,596.41 | $19,085.87 | $30,962.16 | |
Medica
| Facility | $6,480.92 | $6,876.08 | $15,029.60 | |
United
| Facility | $6,480.92 | $6,876.08 | $15,330.00 |