| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,680.00 | $13,680.00 | $13,680.00 | |
Cigna
| Facility | $20,738.88 | $23,849.71 | $38,690.32 | |
Medica
| Facility | $7,829.94 | $8,098.56 | $18,781.00 | |
United
| Facility | $7,829.94 | $8,098.56 | $19,156.38 |