| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,050.00 | $15,050.00 | $15,050.00 | |
Cigna
| Facility | $22,815.80 | $26,238.17 | $42,565.01 | |
Medica
| Facility | $8,794.90 | $8,909.60 | $20,661.84 | |
United
| Facility | $8,794.90 | $8,909.60 | $21,074.82 |