| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,180.00 | $12,180.00 | $12,180.00 | |
Cigna
| Facility | $18,464.88 | $21,234.61 | $34,447.96 | |
Medica
| Facility | $7,049.98 | $7,210.56 | $16,721.68 | |
United
| Facility | $7,049.98 | $7,210.56 | $17,055.90 |