| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,661.30 | $21,661.30 | $21,661.30 | |
Cigna
| Facility | $32,838.46 | $37,764.22 | $61,263.21 | |
Medica
| Facility | $12,823.46 | $22,527.70 | $29,738.30 | |
United
| Facility | $12,823.46 | $12,823.46 | $30,332.68 |