| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,395.00 | $13,395.00 | $13,395.00 | |
Cigna
| Facility | $20,306.82 | $23,352.84 | $37,884.26 | |
Medica
| Facility | $3,300.00 | $5,568.00 | $14,418.38 | |
United
| Facility | $3,300.00 | $5,400.00 | $13,930.80 |