| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,895.00 | $10,895.00 | $10,895.00 | |
Cigna
| Facility | $16,516.82 | $18,994.34 | $30,813.67 | |
Medica
| Facility | $5,894.10 | $6,449.84 | $14,957.53 | |
United
| Facility | $5,894.10 | $6,449.84 | $15,256.49 |