| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,447.00 | $22,447.00 | $22,447.00 | |
Cigna
| Facility | $17,253.89 | $17,862.12 | $17,862.12 | |
Medica
| Facility | $10,536.24 | $14,846.52 | $26,853.45 | |
United
| Facility | $10,536.24 | $14,846.52 | $27,263.32 |