| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,536.30 | $18,536.30 | $18,536.30 | |
Cigna
| Facility | $28,100.96 | $32,316.10 | $52,424.96 | |
Medica
| Facility | $10,730.00 | $10,973.46 | $25,448.05 | |
United
| Facility | $10,730.00 | $10,973.46 | $25,956.68 |