| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,850.00 | $22,850.00 | $22,850.00 | |
Cigna
| Facility | $34,640.60 | $39,836.69 | $64,625.28 | |
Medica
| Facility | $12,683.60 | $13,527.20 | $31,370.31 | |
United
| Facility | $12,683.60 | $23,764.00 | $30,820.08 |