| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,358.80 | $26,358.80 | $26,358.80 | |
Cigna
| Facility | $39,959.87 | $45,953.84 | $74,548.87 | |
Medica
| Facility | $15,604.38 | $17,313.78 | $36,187.40 | |
United
| Facility | $15,604.38 | $17,313.78 | $36,910.68 |