| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,960.00 | $13,960.00 | $13,960.00 | |
Cigna
| Facility | $21,163.36 | $24,337.86 | $39,482.23 | |
Medica
| Facility | $8,264.32 | $9,528.24 | $19,165.40 | |
United
| Facility | $8,264.32 | $9,528.24 | $19,548.47 |