| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,713.80 | $10,713.80 | $10,713.80 | |
Cigna
| Facility | $16,242.05 | $18,678.34 | $30,301.06 | |
Medica
| Facility | $5,551.48 | $6,342.54 | $14,708.69 | |
United
| Facility | $5,551.48 | $6,342.54 | $15,002.68 |