| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,600.00 | $21,600.00 | $21,600.00 | |
Cigna
| Facility | $32,745.60 | $37,657.44 | $61,089.98 | |
Medica
| Facility | $11,512.92 | $12,787.20 | $29,654.21 | |
United
| Facility | $11,512.92 | $12,787.20 | $30,246.91 |