| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,303.00 | $35,039.30 | $57,225.20 | |
Cigna
| Facility | $68,245.89 | $68,245.89 | $68,245.89 | |
Medica
| Facility | $33,010.56 | $57,830.37 | $72,905.20 | |
United
| Facility | $33,010.56 | $58,311.78 | $76,464.14 |