| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,410.00 | $22,410.00 | $22,410.00 | |
Cigna
| Facility | $33,973.56 | $39,069.58 | $63,380.86 | |
Medica
| Facility | $11,286.48 | $13,266.72 | $30,766.24 | |
United
| Facility | $11,286.48 | $13,266.72 | $31,381.17 |