| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,080.00 | $20,080.00 | $20,080.00 | |
Cigna
| Facility | $30,441.28 | $35,007.47 | $56,791.06 | |
Medica
| Facility | $11,020.08 | $11,887.36 | $27,567.43 | |
United
| Facility | $11,020.08 | $11,887.36 | $28,118.43 |