| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,411.30 | $17,411.30 | $17,411.30 | |
Cigna
| Facility | $26,395.46 | $30,354.77 | $49,243.19 | |
Medica
| Facility | $9,981.12 | $10,307.45 | $23,903.56 | |
United
| Facility | $9,981.12 | $10,307.45 | $24,381.32 |