| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,680.00 | $20,680.00 | $20,680.00 | |
Cigna
| Facility | $31,350.88 | $36,053.51 | $58,488.00 | |
Medica
| Facility | $11,750.46 | $12,242.56 | $28,391.16 | |
United
| Facility | $11,750.46 | $12,242.56 | $28,958.62 |