| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,473.80 | $20,473.80 | $20,473.80 | |
Cigna
| Facility | $31,038.21 | $35,693.94 | $57,904.68 | |
Medica
| Facility | $9,597.06 | $12,120.46 | $28,108.00 | |
United
| Facility | $9,597.06 | $12,120.46 | $28,669.80 |