| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,425.00 | $21,425.00 | $21,425.00 | |
Cigna
| Facility | $32,480.30 | $37,352.35 | $60,595.04 | |
Medica
| Facility | $12,177.44 | $12,683.60 | $29,413.95 | |
United
| Facility | $12,177.44 | $12,683.60 | $30,001.86 |