| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,335.00 | $14,335.00 | $14,335.00 | |
Cigna
| Facility | $21,731.86 | $24,991.64 | $40,542.82 | |
Medica
| Facility | $1,322.00 | $8,486.32 | $19,680.23 | |
United
| Facility | $1,322.00 | $8,486.32 | $20,073.59 |