| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,440.00 | $27,440.00 | $27,440.00 | |
Cigna
| Facility | $41,599.04 | $47,838.90 | $77,606.91 | |
Medica
| Facility | $15,786.42 | $16,244.48 | $37,671.83 | |
United
| Facility | $15,786.42 | $16,244.48 | $38,424.78 |