| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,035.00 | $11,035.00 | $11,035.00 | |
Cigna
| Facility | $16,729.06 | $16,729.06 | $19,238.41 | |
Medica
| Facility | $5,843.04 | $6,532.72 | $15,149.73 | |
United
| Facility | $5,843.04 | $6,532.72 | $15,452.53 |