| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,955.00 | $19,955.00 | $19,955.00 | |
Cigna
| Facility | $30,251.78 | $34,789.55 | $56,437.53 | |
Medica
| Facility | $11,813.36 | $20,753.20 | $27,395.82 | |
United
| Facility | $11,813.36 | $11,813.36 | $27,943.39 |