| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,760.00 | $24,760.00 | $24,760.00 | |
Cigna
| Facility | $37,536.16 | $43,166.58 | $70,027.22 | |
Medica
| Facility | $13,003.28 | $14,657.92 | $33,992.51 | |
United
| Facility | $13,003.28 | $14,657.92 | $34,671.92 |