| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,620.00 | $14,620.00 | $14,620.00 | |
Cigna
| Facility | $22,163.92 | $25,488.51 | $41,348.87 | |
Medica
| Facility | $8,655.04 | $9,232.98 | $20,071.50 | |
United
| Facility | $8,655.04 | $9,232.98 | $20,472.68 |