| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,855.00 | $18,855.00 | $18,855.00 | |
Cigna
| Facility | $28,584.18 | $32,871.81 | $53,326.47 | |
Medica
| Facility | $11,162.16 | $11,711.24 | $25,885.65 | |
United
| Facility | $11,162.16 | $19,719.31 | $25,431.62 |