| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42,645.00 | $42,645.00 | $42,645.00 | |
Cigna
| Facility | $64,649.82 | $74,347.28 | $120,610.29 | |
Medica
| Facility | $24,225.38 | $25,245.84 | $58,546.47 | |
United
| Facility | $24,225.38 | $25,245.84 | $59,716.65 |