| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,875.00 | $14,875.00 | $14,875.00 | |
Cigna
| Facility | $22,550.50 | $25,933.08 | $42,070.07 | |
Medica
| Facility | $7,758.16 | $8,806.00 | $20,421.59 | |
United
| Facility | $7,758.16 | $8,806.00 | $20,829.75 |