| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34,463.80 | $34,463.80 | $34,463.80 | |
Cigna
| Facility | $52,247.05 | $60,084.10 | $97,471.76 | |
Medica
| Facility | $20,402.54 | $20,704.46 | $47,314.59 | |
United
| Facility | $20,402.54 | $20,704.46 | $48,260.28 |