| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,145.00 | $21,145.00 | $21,145.00 | |
Cigna
| Facility | $32,055.82 | $36,864.19 | $59,803.13 | |
Medica
| Facility | $12,329.88 | $12,517.84 | $29,029.55 | |
United
| Facility | $12,329.88 | $12,517.84 | $29,609.77 |