| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,118.79 | $10,118.79 | $10,118.79 | |
Cigna
| Facility | $15,340.03 | $17,641.03 | $28,618.25 | |
Medica
| Facility | $5,879.30 | $5,990.30 | $13,891.83 | |
United
| Facility | $5,879.30 | $5,990.30 | $14,169.49 |