| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,746.30 | $10,746.30 | $10,746.30 | |
Cigna
| Facility | $16,291.32 | $18,735.00 | $30,392.97 | |
Medica
| Facility | $6,361.78 | $6,824.28 | $14,753.31 | |
United
| Facility | $6,361.78 | $6,824.28 | $15,048.19 |