| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,636.20 | $26,636.20 | $26,636.20 | |
Cigna
| Facility | $40,380.56 | $46,437.64 | $75,333.71 | |
Medica
| Facility | $15,768.66 | $19,305.12 | $36,568.37 | |
United
| Facility | $15,768.66 | $19,305.12 | $37,299.26 |