| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,066.30 | $19,066.30 | $19,066.30 | |
Cigna
| Facility | $28,904.44 | $33,240.10 | $53,923.93 | |
Medica
| Facility | $11,287.22 | $12,809.40 | $26,175.67 | |
United
| Facility | $11,287.22 | $12,809.40 | $26,698.85 |