| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23,968.80 | $23,968.80 | $23,968.80 | |
Cigna
| Facility | $36,336.62 | $41,787.12 | $67,789.38 | |
Medica
| Facility | $12,212.22 | $14,189.50 | $32,906.22 | |
United
| Facility | $12,212.22 | $14,189.50 | $33,563.92 |