| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,030.00 | $21,030.00 | $21,030.00 | |
Cigna
| Facility | $31,881.48 | $36,663.69 | $59,477.89 | |
Medica
| Facility | $12,449.76 | $12,756.12 | $28,871.67 | |
United
| Facility | $12,449.76 | $12,756.12 | $29,448.73 |