| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,885.00 | $22,885.00 | $22,885.00 | |
Cigna
| Facility | $34,693.66 | $39,897.71 | $64,724.27 | |
Medica
| Facility | $12,955.18 | $13,547.92 | $31,418.36 | |
United
| Facility | $12,955.18 | $13,547.92 | $32,046.32 |