| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48,350.20 | $48,350.20 | $48,350.20 | |
Cigna
| Facility | $121,564.83 | $121,564.83 | $121,564.83 | |
Medica
| Facility | $22,694.76 | $31,978.98 | $62,379.64 | |
United
| Facility | $22,694.76 | $31,978.98 | $58,724.41 |