| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,935.00 | $22,935.00 | $22,935.00 | |
Cigna
| Facility | $34,769.46 | $39,984.87 | $64,865.68 | |
Medica
| Facility | $12,127.86 | $13,577.52 | $31,487.00 | |
United
| Facility | $12,127.86 | $13,577.52 | $32,116.34 |