| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39,276.30 | $39,276.30 | $39,276.30 | |
Cigna
| Facility | $59,542.80 | $68,474.21 | $111,082.66 | |
Medica
| Facility | $22,802.36 | $23,251.54 | $53,921.58 | |
United
| Facility | $22,802.36 | $23,251.54 | $54,999.32 |