| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,422.50 | $13,422.50 | $13,422.50 | |
Cigna
| Facility | $20,348.50 | $20,348.50 | $23,400.79 | |
Medica
| Facility | $5,765.34 | $7,946.12 | $18,427.48 | |
United
| Facility | $5,765.34 | $13,959.40 | $18,104.27 |