| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,605.00 | $19,605.00 | $19,605.00 | |
Cigna
| Facility | $29,721.18 | $34,179.36 | $55,447.65 | |
Medica
| Facility | $10,374.79 | $11,606.16 | $26,915.31 | |
United
| Facility | $10,374.79 | $11,606.16 | $27,453.27 |