| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,297.50 | $21,297.50 | $21,297.50 | |
Cigna
| Facility | $32,287.01 | $37,130.06 | $60,234.44 | |
Medica
| Facility | $11,992.44 | $12,608.12 | $29,238.91 | |
United
| Facility | $11,992.44 | $12,608.12 | $29,823.32 |