| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,645.00 | $10,645.00 | $10,645.00 | |
Cigna
| Facility | $16,137.82 | $18,558.49 | $30,106.61 | |
Medica
| Facility | $6,301.84 | $6,676.28 | $14,614.31 | |
United
| Facility | $6,301.84 | $6,676.28 | $14,906.41 |