| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,120.00 | $15,120.00 | $15,120.00 | |
Cigna
| Facility | $22,921.92 | $26,360.21 | $42,762.99 | |
Medica
| Facility | $8,951.04 | $9,136.78 | $20,757.95 | |
United
| Facility | $8,951.04 | $9,136.78 | $21,172.84 |