| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,835.00 | $10,835.00 | $10,835.00 | |
Cigna
| Facility | $16,425.86 | $18,889.74 | $30,643.98 | |
Medica
| Facility | $5,612.16 | $6,414.32 | $14,875.15 | |
United
| Facility | $5,612.16 | $6,414.32 | $15,172.47 |