| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,454.40 | $14,454.40 | $19,054.61 | |
Cigna
| Facility | $14,791.08 | $15,488.17 | $15,488.17 | |
Medica
| Facility | $8,912.51 | $12,589.25 | $19,054.61 | |
United
| Facility | $10,000.00 | $14,125.38 | $22,908.68 |