| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,695.00 | $28,695.00 | $28,695.00 | |
Cigna
| Facility | $43,501.62 | $50,026.86 | $81,156.35 | |
Medica
| Facility | $16,987.43 | $19,459.04 | $39,394.79 | |
United
| Facility | $16,987.43 | $19,459.04 | $40,182.18 |