| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,170.00 | $17,170.00 | $17,170.00 | |
Cigna
| Facility | $26,029.72 | $29,934.18 | $48,560.88 | |
Medica
| Facility | $10,164.64 | $10,861.72 | $23,572.35 | |
United
| Facility | $10,164.64 | $10,861.72 | $24,043.49 |