| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,174.60 | $15,174.60 | $15,174.60 | |
Cigna
| Facility | $10,576.16 | $12,075.17 | $12,075.17 | |
Medica
| Facility | $3,300.00 | $7,892.19 | $17,043.84 | |
United
| Facility | $3,300.00 | $7,892.19 | $18,430.58 |