| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,570.00 | $28,570.00 | $28,570.00 | |
Cigna
| Facility | $43,312.12 | $49,808.94 | $80,802.82 | |
Medica
| Facility | $15,936.64 | $16,913.43 | $39,223.18 | |
United
| Facility | $15,936.64 | $16,913.43 | $40,007.14 |