| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,200.00 | $12,200.00 | $12,200.00 | |
Cigna
| Facility | $18,495.20 | $21,269.48 | $34,504.53 | |
Medica
| Facility | $7,222.40 | $9,584.48 | $16,749.14 | |
United
| Facility | $7,222.40 | $9,584.48 | $17,083.90 |