| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,637.50 | $26,637.50 | $26,637.50 | |
Cigna
| Facility | $40,382.44 | $46,439.82 | $75,337.24 | |
Medica
| Facility | $15,744.24 | $15,769.40 | $36,570.08 | |
United
| Facility | $15,744.24 | $15,769.40 | $37,301.01 |