| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,576.30 | $20,576.30 | $20,576.30 | |
Cigna
| Facility | $31,193.60 | $35,872.62 | $58,194.57 | |
Medica
| Facility | $11,776.36 | $12,181.14 | $28,248.72 | |
United
| Facility | $11,776.36 | $12,181.14 | $28,813.33 |