| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,870.00 | $10,870.00 | $10,870.00 | |
Cigna
| Facility | $16,478.91 | $18,950.75 | $30,742.97 | |
Medica
| Facility | $5,923.70 | $6,435.04 | $14,923.21 | |
United
| Facility | $5,923.70 | $6,435.04 | $15,221.48 |