| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,460.00 | $18,460.00 | $18,460.00 | |
Cigna
| Facility | $27,985.36 | $32,183.16 | $52,209.31 | |
Medica
| Facility | $10,928.32 | $11,276.86 | $25,343.36 | |
United
| Facility | $10,928.32 | $11,276.86 | $25,849.91 |