| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17,810.00 | $17,810.00 | $17,810.00 | |
Cigna
| Facility | $26,999.96 | $31,049.95 | $50,370.95 | |
Medica
| Facility | $10,226.06 | $10,543.52 | $24,450.99 | |
United
| Facility | $10,226.06 | $10,543.52 | $24,939.70 |