| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,950.00 | $16,950.00 | $16,950.00 | |
Cigna
| Facility | $25,696.20 | $29,550.63 | $47,938.67 | |
Medica
| Facility | $8,869.64 | $10,034.40 | $23,270.32 | |
United
| Facility | $8,869.64 | $10,034.40 | $23,735.42 |