| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,871.30 | $14,871.30 | $14,871.30 | |
Cigna
| Facility | $22,544.82 | $25,926.54 | $42,059.46 | |
Medica
| Facility | $8,625.44 | $8,803.78 | $20,416.43 | |
United
| Facility | $8,625.44 | $8,803.78 | $20,824.50 |