| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43,603.80 | $43,603.80 | $43,603.80 | |
Cigna
| Facility | $66,103.28 | $76,018.78 | $123,321.87 | |
Medica
| Facility | $23,927.16 | $25,813.42 | $59,862.72 | |
United
| Facility | $23,927.16 | $25,813.42 | $61,059.20 |