| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,002.50 | $12,002.50 | $12,002.50 | |
Cigna
| Facility | $18,195.79 | $18,195.79 | $20,925.16 | |
Medica
| Facility | $5,982.90 | $7,105.48 | $16,477.99 | |
United
| Facility | $5,982.90 | $7,105.48 | $16,807.34 |