| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,065.00 | $26,065.00 | $26,065.00 | |
Cigna
| Facility | $39,514.54 | $45,441.72 | $73,718.08 | |
Medica
| Facility | $14,490.68 | $15,430.48 | $35,784.12 | |
United
| Facility | $14,490.68 | $15,430.48 | $36,499.33 |