| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,969.23 | $15,322.70 | $22,453.20 | |
Cigna
| Facility | $2,200.00 | $10,770.21 | $20,271.20 | |
Medica
| Facility | $9,618.03 | $18,306.14 | $25,645.57 | |
United
| Facility | $9,209.98 | $18,306.14 | $25,645.57 |