| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,580.00 | $22,580.00 | $22,580.00 | |
Cigna
| Facility | $34,231.28 | $39,365.97 | $63,861.66 | |
Medica
| Facility | $13,367.36 | $13,890.54 | $30,999.63 | |
United
| Facility | $13,367.36 | $13,890.54 | $31,619.23 |