| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,620.00 | $22,620.00 | $22,620.00 | |
Cigna
| Facility | $34,291.92 | $39,435.71 | $63,974.79 | |
Medica
| Facility | $12,738.36 | $13,391.04 | $31,054.55 | |
United
| Facility | $12,738.36 | $13,391.04 | $31,675.24 |