| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31,550.00 | $31,550.00 | $31,550.00 | |
Cigna
| Facility | $47,829.80 | $55,004.27 | $89,230.97 | |
Medica
| Facility | $18,677.59 | $19,074.24 | $43,314.36 | |
United
| Facility | $18,677.59 | $19,074.24 | $44,180.10 |