| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,625.00 | $22,625.00 | $22,625.00 | |
Cigna
| Facility | $34,299.50 | $39,444.43 | $63,988.93 | |
Medica
| Facility | $12,850.84 | $13,394.00 | $31,061.41 | |
United
| Facility | $12,850.84 | $13,394.00 | $31,682.24 |