| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,545.00 | $20,545.00 | $20,545.00 | |
Cigna
| Facility | $31,146.22 | $35,818.15 | $58,106.19 | |
Medica
| Facility | $12,162.64 | $12,656.96 | $28,205.82 | |
United
| Facility | $12,162.64 | $12,656.96 | $28,769.57 |