| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,777.00 | $29,777.00 | $29,777.00 | |
Cigna
| Facility | $22,888.10 | $23,694.95 | $23,694.95 | |
Medica
| Facility | $13,976.82 | $19,694.61 | $36,002.12 | |
United
| Facility | $13,976.82 | $19,694.61 | $36,166.08 |