| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,553.80 | $17,553.80 | $17,553.80 | |
Cigna
| Facility | $26,611.49 | $30,603.21 | $49,646.22 | |
Medica
| Facility | $9,898.24 | $10,391.82 | $24,099.19 | |
United
| Facility | $9,898.24 | $10,391.82 | $24,580.87 |