| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,850.00 | $12,850.00 | $12,850.00 | |
Cigna
| Facility | $19,480.59 | $22,402.69 | $36,342.87 | |
Medica
| Facility | $7,607.20 | $7,990.52 | $17,641.50 | |
United
| Facility | $7,607.20 | $7,990.52 | $17,994.11 |