| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,885.00 | $12,885.00 | $12,885.00 | |
Cigna
| Facility | $19,533.66 | $22,463.71 | $36,441.87 | |
Medica
| Facility | $7,055.90 | $7,627.92 | $17,689.56 | |
United
| Facility | $7,055.90 | $7,627.92 | $18,043.12 |