| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,516.30 | $10,516.30 | $10,516.30 | |
Cigna
| Facility | $15,942.64 | $18,334.03 | $29,742.48 | |
Medica
| Facility | $4,983.89 | $6,225.62 | $14,437.55 | |
United
| Facility | $4,983.89 | $6,225.62 | $14,726.12 |