| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,865.00 | $16,865.00 | $16,865.00 | |
Cigna
| Facility | $25,567.34 | $29,402.44 | $47,698.27 | |
Medica
| Facility | $9,984.08 | $10,206.82 | $23,153.62 | |
United
| Facility | $9,984.08 | $10,206.82 | $23,616.40 |