| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,915.00 | $18,915.00 | $18,915.00 | |
Cigna
| Facility | $28,675.14 | $32,976.41 | $53,496.16 | |
Medica
| Facility | $10,229.02 | $11,197.68 | $25,968.03 | |
United
| Facility | $10,229.02 | $11,197.68 | $26,487.05 |