| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,593.80 | $12,593.80 | $12,593.80 | |
Cigna
| Facility | $19,092.13 | $21,955.94 | $35,618.15 | |
Medica
| Facility | $6,353.64 | $7,455.50 | $17,289.71 | |
United
| Facility | $6,353.64 | $7,455.50 | $17,635.28 |