| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33,947.50 | $33,947.50 | $33,947.50 | |
Cigna
| Facility | $85,352.75 | $85,352.75 | $85,352.75 | |
Medica
| Facility | $15,934.38 | $22,452.99 | $43,797.82 | |
United
| Facility | $15,934.38 | $22,452.99 | $41,231.42 |