| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,210.00 | $24,210.00 | $24,210.00 | |
Cigna
| Facility | $36,702.36 | $42,207.71 | $68,471.69 | |
Medica
| Facility | $12,193.72 | $14,332.32 | $33,237.42 | |
United
| Facility | $12,193.72 | $14,332.32 | $33,901.75 |