| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,965.00 | $21,965.00 | $21,965.00 | |
Cigna
| Facility | $33,298.94 | $38,293.78 | $62,122.29 | |
Medica
| Facility | $13,003.28 | $14,297.54 | $30,155.31 | |
United
| Facility | $13,003.28 | $14,297.54 | $30,758.03 |