| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,745.00 | $12,745.00 | $12,745.00 | |
Cigna
| Facility | $19,321.41 | $22,219.63 | $36,045.92 | |
Medica
| Facility | $7,396.30 | $7,545.04 | $17,497.36 | |
United
| Facility | $7,396.30 | $7,545.04 | $17,847.08 |