| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,533.80 | $12,533.80 | $12,533.80 | |
Cigna
| Facility | $19,001.16 | $21,851.34 | $35,448.44 | |
Medica
| Facility | $5,829.72 | $7,419.98 | $17,207.33 | |
United
| Facility | $5,829.72 | $7,419.98 | $17,551.25 |