| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,920.00 | $18,920.00 | $18,920.00 | |
Cigna
| Facility | $28,682.72 | $32,985.12 | $53,510.30 | |
Medica
| Facility | $11,200.64 | $19,676.80 | $25,974.89 | |
United
| Facility | $11,200.64 | $11,200.64 | $26,494.05 |