| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,006.30 | $12,006.30 | $12,006.30 | |
Cigna
| Facility | $18,201.48 | $20,931.70 | $33,956.56 | |
Medica
| Facility | $4,699.74 | $7,107.70 | $16,483.14 | |
United
| Facility | $4,699.74 | $7,107.70 | $16,812.59 |