| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,020.00 | $21,020.00 | $21,020.00 | |
Cigna
| Facility | $31,866.32 | $36,646.26 | $59,449.60 | |
Medica
| Facility | $11,971.72 | $12,443.84 | $28,857.94 | |
United
| Facility | $11,971.72 | $12,443.84 | $29,434.73 |