| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25,833.80 | $25,833.80 | $25,833.80 | |
Cigna
| Facility | $39,163.97 | $45,038.56 | $73,064.05 | |
Medica
| Facility | $14,955.40 | $15,293.58 | $35,466.64 | |
United
| Facility | $14,955.40 | $15,293.58 | $36,175.51 |