| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,985.00 | $11,985.00 | $11,985.00 | |
Cigna
| Facility | $18,169.25 | $20,894.65 | $33,896.46 | |
Medica
| Facility | $4,300.00 | $6,800.00 | $12,900.65 | |
United
| Facility | $4,300.00 | $7,095.12 | $16,165.37 |