| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,360.00 | $16,360.00 | $16,360.00 | |
Cigna
| Facility | $24,801.76 | $28,522.02 | $46,270.01 | |
Medica
| Facility | $9,685.12 | $10,451.02 | $22,460.32 | |
United
| Facility | $9,685.12 | $10,451.02 | $22,909.24 |