| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,251.20 | $13,251.20 | $13,251.20 | |
Cigna
| Facility | $20,088.90 | $23,102.23 | $37,477.72 | |
Medica
| Facility | $4,300.00 | $6,800.00 | $14,263.65 | |
United
| Facility | $4,300.00 | $5,700.00 | $13,781.30 |