| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,715.00 | $18,715.00 | $18,715.00 | |
Cigna
| Facility | $28,371.94 | $32,627.73 | $52,930.51 | |
Medica
| Facility | $10,656.00 | $11,079.28 | $25,693.45 | |
United
| Facility | $10,656.00 | $11,079.28 | $26,206.99 |