| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30,668.40 | $30,668.40 | $30,668.40 | |
Cigna
| Facility | $23,573.33 | $24,404.33 | $24,404.33 | |
Medica
| Facility | $14,395.26 | $20,284.23 | $36,692.08 | |
United
| Facility | $14,395.26 | $20,284.23 | $37,248.83 |