| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,825.00 | $12,825.00 | $12,825.00 | |
Cigna
| Facility | $19,442.70 | $22,359.11 | $36,272.18 | |
Medica
| Facility | $7,323.04 | $7,592.40 | $17,607.18 | |
United
| Facility | $7,323.04 | $7,592.40 | $17,959.09 |