| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,233.80 | $13,233.80 | $13,233.80 | |
Cigna
| Facility | $20,062.37 | $23,071.72 | $37,428.22 | |
Medica
| Facility | $7,811.44 | $7,834.38 | $18,168.34 | |
United
| Facility | $7,811.44 | $7,834.38 | $18,531.48 |