| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,713.80 | $21,713.80 | $21,713.80 | |
Cigna
| Facility | $32,918.05 | $37,855.75 | $61,411.70 | |
Medica
| Facility | $12,093.82 | $12,854.54 | $29,810.37 | |
United
| Facility | $12,093.82 | $12,854.54 | $30,406.20 |