| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,303.00 | $24,601.70 | $40,178.80 | |
Cigna
| Facility | $47,916.61 | $47,916.61 | $47,916.61 | |
Medica
| Facility | $23,177.28 | $40,603.69 | $51,187.99 | |
United
| Facility | $23,177.28 | $40,941.69 | $53,686.79 |