| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,695.00 | $16,695.00 | $16,695.00 | |
Cigna
| Facility | $25,309.62 | $29,106.06 | $47,217.47 | |
Medica
| Facility | $8,675.76 | $9,883.44 | $22,920.23 | |
United
| Facility | $8,675.76 | $9,883.44 | $23,378.34 |