| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29,965.00 | $29,965.00 | $29,965.00 | |
Cigna
| Facility | $45,426.94 | $52,240.98 | $84,748.21 | |
Medica
| Facility | $17,739.28 | $18,269.86 | $41,138.35 | |
United
| Facility | $17,739.28 | $18,269.86 | $41,960.59 |